The Influence of Strategic Planning on The Efficiency and Equity of Healthcare Delivery in Decentralized Systems: A Comprehensive Review

Abstract

Background: The decentralization of healthcare systems has garnered significant attention for its potential to enhance efficiency, equity, and effectiveness in service delivery. However, the impact of strategic planning within decentralized frameworks remains inadequately explored, particularly regarding its influence on healthcare delivery outcomes.

Methods: This review utilizes a scoping methodology to assess existing literature on strategic planning and decentralization in healthcare. The analysis includes peer-reviewed articles from interdisciplinary databases, focusing on studies published post-2019, reflecting the growing relevance of this issue in the context of the COVID-19 pandemic.

Results: The findings reveal a complex relationship between strategic planning and healthcare delivery efficiency in decentralized systems. While strategic planning has the potential to improve resource allocation and service accessibility, the efficacy of these outcomes varies significantly across different socio-economic contexts. Evidence suggests that regions with robust strategic planning frameworks experience enhanced service delivery and reduced inequities. However, challenges such as inadequate financial resources and lack of local governance capacity can exacerbate disparities in healthcare access and quality.

Conclusion: Effective strategic planning is crucial for optimizing the benefits of decentralization in healthcare systems. Policymakers must ensure that decentralization efforts are accompanied by comprehensive planning frameworks that address local needs and promote equity. Future research should focus on developing standardized evaluation metrics to assess the impact of strategic planning on healthcare delivery in decentralized settings.