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. 2015 Nov 15;5(3):173–181. doi: 10.15171/ijhpm.2015.199

Table 1. Bossert’s Framework for Mapping Decision Space .

Category Function Indicators
Finance
Sources of revenue Intergovernmental transfers as a % of total health spending
Allocation of expenditure % of local spending that is explicitly earmarked by higher authorities
Income from fees and contracts Range of prices local authorities are allowed to choose
Contracts Number of models allowed
Service Organisation
Hospital autonomy Choice of range of autonomy for hospitals
Insurance plans Choice of how to design insurance plans
Payment mechanisms Choice of how providers will be paid
Required programs Specificity of norms for local programs
Human Resources
Salaries Choice of salary range
Contracts Contracting of non-permanent staff
Civil service Hiring and firing of permanent staff
Access Rules
Targeting Defining priority populations
Governance Rules
Facility boards Size and composition of boards
Health offices Size and composition of local offices
Community participation Size, number, composition, and role of community participation