Title |
Resources, attitudes and culture: an understanding of the factors that influence the functioning of accountability mechanisms in primary health care settings
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Published in |
BMC Health Services Research, August 2013
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DOI | 10.1186/1472-6963-13-320 |
Pubmed ID | |
Authors |
Susan M Cleary, Sassy Molyneux, Lucy Gilson |
Abstract |
District level health system governance is recognised as an important but challenging element of health system development in low and middle-income countries. Accountability is a more recent focus in health system debates. Accountability mechanisms are governance tools that seek to regulate answerability between the health system and the community (external accountability) and/or between different levels of the health system (bureaucratic accountability). External accountability has attracted significant attention in recent years, but bureaucratic accountability mechanisms, and the interactions between the two forms of accountability, have been relatively neglected. This is an important gap given that webs of accountability relationships exist within every health system. There is a need to strike a balance between achieving accountability upwards within the health system (for example through information reporting arrangements) while at the same time allowing for the local level innovation that could improve quality of care and patient responsiveness. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 5 | 2% |
Indonesia | 3 | <1% |
South Africa | 2 | <1% |
Netherlands | 1 | <1% |
Uganda | 1 | <1% |
Australia | 1 | <1% |
Kenya | 1 | <1% |
Ireland | 1 | <1% |
Sierra Leone | 1 | <1% |
Other | 3 | <1% |
Unknown | 295 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 69 | 22% |
Researcher | 45 | 14% |
Student > Ph. D. Student | 41 | 13% |
Other | 25 | 8% |
Student > Doctoral Student | 20 | 6% |
Other | 58 | 18% |
Unknown | 56 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 75 | 24% |
Social Sciences | 67 | 21% |
Nursing and Health Professions | 35 | 11% |
Business, Management and Accounting | 23 | 7% |
Economics, Econometrics and Finance | 12 | 4% |
Other | 40 | 13% |
Unknown | 62 | 20% |