Electing the System: Citizen Participation as Representative Democracy
Having, in Chapters 3 and 4, discussed the invited modes by which healthcare organisations seek to engage their publics, this chapter turns instead to the opportunities created by the intersection of local structures of representative democracy and health systems. The role of representative democracy is rarely in the foreground within much health services literature, where healthcare organisations are often depicted as looking ‘up’ to faceless regulators and managers, and ‘down’ to their publics and service users, with minimal discussion of the political contexts which frame both of these relationships.
KeywordsLocal Authority Central Government Board Member Healthcare Organisation Citizen Participation
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