Publications

Centralisation and decentralisation in a crisis

Overview

The COVID-19 pandemic led to unprecedented challenges and political creativity worldwide. In governance, this often led to unexpected centralisation and decentralisation in response to case surges. Changes in the distribution of power and responsibility throughout governments changed quickly as the pandemic progressed. Centralisation and decentralisation occurred within governments and between governments, as power shifted. The main explanation for the patterns of centralisation and decentralisation is the politics of credit and blame. Politicians at all levels seek to centralise when there is credit to be had from forceful action and decentralise when there are unpopular policies or bad news coming. 
WHO Team
European Observatory on Health Systems and Policies
Editors
Scott L. Greer, Michelle Falkenbach, Holly Jarman, Olga Löblová, Sarah Rozenblum, Noah Williams and Matthias Wismar

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