This book explores the dynamics of health system decentralization and recentralization, investigating why and how the territorial organization of health systems changes or remains stable over time. Drawing from historical and discursive institutionalism, the explanatory framework revolves around the role of ideas, discourse and institutions. Through the analysis of the Italian and Danish health systems, the book corroborates the value of combining ideational and institutional accounts in explaining institutional continuity and change, offering new empirical and theoretical insights into the study of public policy making. The book will be of use to students and scholars interested in health politics and policy, federalism and decentralization, and theories of institutional change. Andrea Terlizzi is Researcher at the Department of Legal Sciences, University of Florence, Italy. His main research interests include health systems and policy, migration dynamics and policy, federalism and decentralization, and institutional and policy change.

Autorentext
Andrea Terlizzi is Researcher at the Department of Legal Sciences, University of Florence, Italy. His main research interests include health systems and policy, migration dynamics and policy, federalism and decentralization, and institutional and policy change.

Inhalt
List of Figures List of Tables
List of Abbreviations
1Introduction: Health Systems, Decentralization, and Change
2Explaining Health System Decentralization and Recentralization
3Health System Decentralization and Recentralization in Italy
4Health System Decentralization and Recentralization in Denmark

5Conclusions: Ideas, Discourse, Institutions, and Change
Appendix
References