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Victory for volunteerism? Scottish health board elections and participation in the welfare state

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  • Greer, Scott L.
  • Stewart, Ellen A.
  • Wilson, Iain
  • Donnelly, Peter D.

Abstract

This paper presents findings from a multimethod study of pilot elections held to choose members of health boards in the National Health Service in Scotland. We begin by proposing that much current public involvement practice is dominated by a volunteerist model, in which members of the public with time and skills to offer play essentially supportive and non-challenging roles within health care organizations. This model contrasts sharply with the adversarial, political model of electoral democracy. Nonetheless, drawing on a postal survey of voters, non-participant observation of Boards, and semi-structured interviews with candidates, elected Board members and other stakeholders, we demonstrate that the introduction of elections did not overcome the volunteerist slant of current public involvement with health care organizations. Far from offering a ‘quick fix’ for policymakers seeking to ensure accountability of health care organizations, elections may produce remarkably similar outcomes to existing mechanisms of public involvement.

Suggested Citation

  • Greer, Scott L. & Stewart, Ellen A. & Wilson, Iain & Donnelly, Peter D., 2014. "Victory for volunteerism? Scottish health board elections and participation in the welfare state," Social Science & Medicine, Elsevier, vol. 106(C), pages 221-228.
    • Handle: RePEc:eee:socmed:v:106:y:2014:i:c:p:221-228
    DOI: 10.1016/j.socscimed.2014.01.053
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    References listed on IDEAS

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    1. Steele, David & Cylus, Jonathan, 2012. "United Kingdom (Scotland): health system review," LSE Research Online Documents on Economics 49652, London School of Economics and Political Science, LSE Library.
    2. Barnett, Pauline & Tenbensel, Tim & Cumming, Jacqueline & Clayden, Clare & Ashton, Toni & Pledger, Megan & Burnette, Mili, 2009. "Implementing new modes of governance in the New Zealand health system: An empirical study," Health Policy, Elsevier, vol. 93(2-3), pages 118-127, December.
    3. Wait, Suzanne & Nolte, Ellen, 2006. "Public involvement policies in health: exploring their conceptual basis," Health Economics, Policy and Law, Cambridge University Press, vol. 1(2), pages 149-162, April.
    4. Tenbensel, Tim, 2010. "Virtual special issue introduction: Public participation in health policy in high income countries - A review of why, who, what, which, and where?," Social Science & Medicine, Elsevier, vol. 71(9), pages 1537-1540, November.
    5. Martin, Graham P., 2008. "Representativeness, legitimacy and power in public involvement in health-service management," Social Science & Medicine, Elsevier, vol. 67(11), pages 1757-1765, December.
    6. Contandriopoulos, Damien, 2004. "A sociological perspective on public participation in health care," Social Science & Medicine, Elsevier, vol. 58(2), pages 321-330, January.
    7. Tritter, Jonathan Quetzal & McCallum, Alison, 2006. "The snakes and ladders of user involvement: Moving beyond Arnstein," Health Policy, Elsevier, vol. 76(2), pages 156-168, April.
    8. Thompson, Andrew G.H., 2007. "The meaning of patient involvement and participation in health care consultations: A taxonomy," Social Science & Medicine, Elsevier, vol. 64(6), pages 1297-1310, March.
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