Centralization: Organizational Impact in the Health Sector

Abstract

The conception of centralization has to be understood as an organizational spectrum that goes well beyond infrastructures, since there can be centralization or decentralization at different levels: transportation, operational coordination or decision making. Objectively the research intends to carry out the analysis and understanding of the evolution of the logistical centralization process developed by the organization, as well as to realize the impact at the operational and management level of the centralization process. From the methodological point of view, this article was elaborated through literature review illustrating the state of the art in relation to the subject under study. We can conclude that the question of centralization can not be defined as an absolute term, and can not define organizations as centralized or decentralized, but rather we can define institutions as tendentially centralized or tendentially decentralized.