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Table 1 Levels, functions, elements and sub-elements of enquiry

From: Decentralization and health system performance – a focused review of dimensions, difficulties, and derivatives in India

Level

Characteristics

Functions

Elements

Sub-elements

Input

Health system characteristics

Health system functions

Service providers

• Opinion, experience

• Job satisfaction

• Authority

• Accountability

• Competence

Service delivery point

• Compliance with standards

Process

Institutional characteristics

Management functions

Management environment and practices

• Knowledge, opinion

• Policy and guidelines

• Role clarity

• Competence

• Power, accountability

Output

Patient/community characteristics

Measurement functions

Utilization

• Out-door utilization

• In-door utilization

• Utilization of outreach services

Satisfaction

• Awareness, perception

• Access to services

• Satisfaction

Community participation

• Socio-economic status

• Health seeking behavior

  1. Source: Authors’ self-construct, 2016