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Data-production became almost an end in itself, threatening to undermine the objectives it sought to pursue. Nonetheless, extended deadlines entailed by ministerial intervention were appropriated as a resource by local actors, leading to ARH decisions which deviated from the official efficiency model, but resulted in increased effectiveness, taking fuller account of local conditions.

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The proposed classification of health risk components gives more insight and understanding of risks associated with diseases and illness and proposes an operational representation of actions and costs related to the risks. The methodology proposed might be of significant interest to those involved in making health-care financing decisions.

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