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Promoting a genuine decentralisation of budgets, however, would require the prime minister to be much tougher on the central bureaucracy than he has been to date.If he is willing to take them on, Mr Koizumi can portray himself as the national counterpart to all those maverick governors, removing power from the Tokyo elite even as he brings jobs and growth to the regions.
Measures that have been shown to reduce corruption should be taken, including decentralisation of budgets, community participation and transparency in contracts [ 37].
Decentralisation of budgets and administrative functions can affect the health sector, often in negative ways, by reducing resources available and confusing lines of accountability for health workers.
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"In the coming autumn session of parliament," he said, "I hope you will have that law .Another highly touted initiative of Mr Eglbegdorj's party has been the decentralisation of budgeting decisions.
The decentralisation of budget management is another element of fiscal reform.
In Sweden, reduced prices, combined with the ongoing process of decentralisation of budget responsibility for reimbursed pharmaceuticals, might have provided incentives for the physicians to be more cost-conscious when prescribing.
In the first place, the content of the annual district health plans seemed to be largely dictated by national priorities, despite the emphasis on decentralisation of decision making and budgeting.
This can be seen particularly clearly in the process of budget decentralisation, which leads to a focus on local decision-making but where the capacity of local institutions to recruit, train and manage local health service workers is limited.
"We expect a greater degree of decentralisation of and accountability for commissioning and accompanying budgets across the nations and regions to rebalance the concern the BBC has a London bias," the report says.
The demand for greater decentralisation of public resources led to an increase in the budget of cities and states.
In the health sector, this has been reflected in the decentralisation of service provision to semi-autonomous hospitals, because hospitals often consume the largest part of the health sector budget [ 6].
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