Other state centralization efforts affecting the local level are a new law that forces municipalities to accept the settlement of unaccompanied minors, increased rights for undocumented migrants and state funding for local anti-discrimination measures.
However, it is necessary to define parameters around de-centralization efforts, in order to prevent chaos and a breakdown in the channeling of funds and the adequate financing of services.
No discernable evidence of a correlative centralization of effort in family medicine, internal medicine and pediatrics is found.
This problem has produced a wave of post-NPM-reforms, resulting in increased centralization, new efforts at capacity building and co-ordination (Christensen and Lægreid 2007).
Other models, such as multiple visiting teams continuously working with a single local partner, provided an opportunity for centralization of efforts and local input, but required investment in consensus-building and streamlining of processes across different groups.
In announcing that Mr. Dubow would receive a hefty package, double the previous year, Gannett hardly shied away from part of what was driving the award: "The company achieved substantial expense reductions through a variety of efforts, including continued centralization and consolidation efforts and salary freezes, positioning the company for growth as economic conditions improve".
Most respondents (70/100; 70%) indicated that they supported centralization of updating efforts across institutions or agencies.
Yet as a result, local IRBs may resist efforts at centralization, potentially impeding the spread, efficiencies, and acceptance of such efforts.
The basis of this kind of effort is centralization.
Over the next two centuries it resisted the crown's efforts at centralization.
