Older persons in emergencies: an active ageing perspective, World Health Organization: Geneva, Switzerland, 2008, 43 pp. ISBN: 978 92 4 156364 2

✍ Scribed by Kelly G. Fitzgerald

• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 34 KB
• Volume: 24
• Category: Article
• ISSN: 0749-6753
• DOI: 10.1002/hpm.1009

✦ Synopsis

centralization, the timing of the process and its transaction costs, and economies of scale are identified as relevant variables in the process.

The interaction between organizations, innovation, and environment has a central role given the cultural heterogeneity of organisations in developing states which makes a ''one size fits all'' policy an impossible. Hence, it becomes clear the need of a strategy formulated form best practices to be applied to the most efficient scale. Yet, form the experiences examined the book identifies a few trade offs between quality and efficiency in the dissemination of practices subject to limited resources constrains. Finally, identifies the degree of change along with institutional and political constraints as the key constraints to the scaling up process.

The book overall is illuminating for practitioners though the heterogeneity of the experiences examined makes it difficult to judge the relevant factors in place. Instead, the authors manage to report some of the key processes that give rise to successful scaling up experiences along with an explanation of how much did contextual effects influence the process. Limited emphasis is given to the role of incentives for scaling up as well as to the weak balance between innovation and institutional stability. Overall, this book can be seen as a first contribution to what can be, hopefully, a prolific debate in health care management.