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Blue Health Care System (BHCS) has integrated health networks in three different regions: Ashanti, Greater Accra, and Eastern. These three markets have vast regional differences.

Blue Health Care System (BHCS) has integrated health networks in three different regions: Ashanti, Greater Accra, and Eastern. These three markets have vast regional differences. Because of the increasing penetration of the Ghanaian health-care market by managed care companies, BHCS must create a system that offers continuity of care across the continuum for a set price to remain competitive. Its board of directors set the systems goal as being a leader in developing and maintaining integrated health networks that improve the health status of their communities. Required: To meet this goal in the three regions, should the health systems management structure be decentralised or centralised? What are the advantages and disadvantages of each option

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