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The advantages and disadvantages of the decentralization organizational management structures are very important to be investigated because of their impact on the competitiveness on micro and macro level. In the present study are published the results from a seven years research among Bulgarian health care managers. The basic idea was to investigate how the practical implementation of the performance measurement system is a very powerful instrument to increase the competitiveness of the health care subdivisional unit even though if it is an organized system with a very decentralizated structure.
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Терзиев et al. (2019) studied this question.
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