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The short history of the NHRS in Panama reveals limited experience in systematic decision making for health research prioritization, particularly in a participatory and decentralized practice [ 15, 37].
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Because of this decentralized recruiting practice, "information on disciplinary actions against particular officers rarely makes it back to a U.S. police officer's home force" and accountability suffers.
While decentralized, in practice the Ministry of Health continues to play a central administrative role although the provincial and district departments of health level are key actors in service delivery at health facilities and community level [ 8].
The health system in Bosnia and Herzegovina is decentralized, which in practice has resulted in inequitable access to health care and uneven levels of service.
In Germany, health care is decentralized with private practice physicians and mostly public hospitals providing most ambulatory and impatient care.
Instead, it advocated decentralized budgeting and management practices used in the private real estate industry.
Great Britain, for example, decentralizes power in practice though not in constitutional principle.
Nevertheless, other empirical research has shown that in practice, decentralizing and democratizing the decision-making process on key concerns associated with planning and climate-change adaptation can be problematic (Engle and Lemos 2010).
That is even more true with cloud-based VoIP, which makes such practices all the more decentralized.
The disorderly and largely decentralized White Army, christened as such for their practice of smearing white ash on their bodies to repel insects, was formed (a term used graciously here) around 1991 with the ostensible purpose of fighting off cattle raids from the Dinka and Murlee.
In urban stormwater management, decentralized systems are nowadays worldwide experimented, including stormwater best management practices.
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