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.
