Who Governs the Health Sector? Comparative European and American Experiences with Representation, Participation, and Decentralization

Björkman, James Warner

doi:10.2307/421745

Cited by 12 publications

(4 citation statements)

References 4 publications

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“…Similar findings are reported from European-based evaluations that describe the limited influence of lay citizen governors (i.e., non-administrative or not medically trained) within actual discussions and decision-making processes of health systems' governance boards (e.g., 18,20,49,50).…”

Section: Theoretical Backgroundsupporting

confidence: 80%

Health System Regionalization in Canada's Provincial and Territorial Health Systems: Do Citizen Governance Boards Represent, Engage, and Empower?

Chessie¹

2009

Int J Health Serv

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Regionalization of the health care system, through the creation of sub-provincial service-delivery regions and governance authorities (i.e., regional health authorities, RHAs), has been a key part of Canadian health reform initiatives of the past two decades. Increased public participation in health care planning and service delivery is one of the explicit goals of regionalization. Based on a reanalysis of data from a 2001 survey of health system governors from 134 RHAs throughout Canada, this study explores the overall demographic composition of the citizen governance boards, as well as their responses to various opinion and attitude questions. To enable consideration of the extent to which these sites may support public deliberation and community development, overall responses are examined, as are responses within two subtypes of governors: system-experienced citizen governors and lay citizen governors--governors with or without previous health-system employment experience, respectively. The findings suggest that attention needs to be paid to these citizen governance boards if they are truly meant to be sites of citizen engagement in health policy and governance.

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Section: Theoretical Backgroundsupporting

confidence: 80%

Health System Regionalization in Canada's Provincial and Territorial Health Systems: Do Citizen Governance Boards Represent, Engage, and Empower?

Chessie¹

2009

Int J Health Serv

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“…Those whose livelihoods are affected will be highly motivated to protect their interests (Bjorkman, 1985). Unfortunately, the more explicit the link between con ict of interest and con ict of values, the more dif cult it is to resolve the con ict through negotiation (Tysoe, 1982).…”

Section: Identitymentioning

confidence: 99%

Interprofessionalism and ethics: consensus or clash of cultures?

Irvine

Kerridge

McPhee

et al. 2002

Journal of Interprofessional Care

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“…Most political, administrative and economic capacities during this period were indeed delegated to the county level in all three countries. Even so, this period displays considerable differences, for example in the mix of different decision‐making capacities at the central and regional level and in the financial schemes (Bjorkman, 1985; Saltman et al , 2007). The early 2000s also display reform plans and processes pointing in different directions: Norway is becoming a politically and economically centralised system, Denmark moves in the direction of economic centralisation, whereas Sweden currently stays with a county‐oriented solution.…”

Section: Explaining the Break‐up Of The Decentralised Modelmentioning

confidence: 99%

The end of the decentralised model of healthcare governance?

Byrkjeflot

Neby

2008

J of Health Org and Mgt

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The paper contributes to the current discussion and research relating to classification of health care systems, and aims at developing a more elaborate understanding of the role of the hospital sectors within the Scandinavian welfare states. It challenges the idea that a single model can capture the essence of such diverse systems, and proposes an alternative to such modelling, based on a historical-institutional approach.

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Who Governs the Health Sector? Comparative European and American Experiences with Representation, Participation, and Decentralization

Cited by 12 publications

References 4 publications

Health System Regionalization in Canada's Provincial and Territorial Health Systems: Do Citizen Governance Boards Represent, Engage, and Empower?

Health System Regionalization in Canada's Provincial and Territorial Health Systems: Do Citizen Governance Boards Represent, Engage, and Empower?

Interprofessionalism and ethics: consensus or clash of cultures?

The end of the decentralised model of healthcare governance?

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