"This article examines two quite different shapes of decentralisation programme in Macedonia: GPs and the established system of health centres in the country; and in its hospital sector. Focusing extensively on the policy options for decentralisation, in particular around the opportunities for local self-government, the article focuses on how decentralisation may be made to work to improve the health system and health care services offered in Macedonia. Recognising that the reforms are likely to have only minimal impact on the overall level of resources available within the health system, the article identifies the areas where there is nevertheless likely to be some beneficial shifts. The article concludes by setting out the areas in which the Ministry of Health needs to develop and strengthen its regulatory activities as well as its overall capabilities."

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