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Governance and public involvement in the British National Health Service: Understanding difficulties and developments

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  • Callaghan, Gillian
  • Wistow, Gerald

Abstract

The article considers the role of public involvement in the British National Health Service in the context of the wider shift from government to governance. Based on a comparative case study, it identifies different outcomes from a single policy initiative in two localities. It argues, following Jessop, that accounts of governance which rest on inter-organisational relationships are inadequate, and that we also need to look at inter-systemic and inter-personal levels for more complete explanations. Investigating the relationships between these levels, we derive an account of governance within which to situate the role of public involvement. It is against this background that we focus on why the methods of involvement deserve greater attention for their substantive contribution to its quality and effectiveness.

Suggested Citation

  • Callaghan, Gillian & Wistow, Gerald, 2006. "Governance and public involvement in the British National Health Service: Understanding difficulties and developments," Social Science & Medicine, Elsevier, vol. 63(9), pages 2289-2300, November.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:9:p:2289-2300
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    Cited by:

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    2. Eddy Cardinaels & Naomi Soderstrom, 2013. "Managing in a Complex World: Accounting and Governance Choices in Hospitals," European Accounting Review, Taylor & Francis Journals, vol. 22(4), pages 647-684, December.
    3. Rocco Palumbo & Mohammad Fakhar Manesh & Massimiliano M. Pellegrini & Giulia Flamini, 2020. "Exploiting Inter-Organizational Relationships in Health Care: A Bibliometric Analysis and Literature Review," Administrative Sciences, MDPI, vol. 10(3), pages 1-22, August.
    4. Frame, Bob & Brown, Judy, 2008. "Developing post-normal technologies for sustainability," Ecological Economics, Elsevier, vol. 65(2), pages 225-241, April.
    5. Macq, Jean & Martiny, Patrick & Villalobos, Luis Bernardo & Solis, Alejandro & Miranda, Jose & Mendez, Hilda Cecilia & Collins, Charles, 2008. "Public purchasers contracting external primary care providers in Central America for better responsiveness, efficiency of health care and public governance: Issues and challenges," Health Policy, Elsevier, vol. 87(3), pages 377-388, September.
    6. Brown, Judy, 2009. "Democracy, sustainability and dialogic accounting technologies: Taking pluralism seriously," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 20(3), pages 313-342.
    7. Yingya Yang & Liangliang Zhou & Chongmei Zhang & Xin Luo & Yihan Luo & Wei Wang, 2022. "Public Health Services, Health Human Capital, and Relative Poverty of Rural Families," IJERPH, MDPI, vol. 19(17), pages 1-14, September.
    8. Glimmerveen, Ludo & Ybema, Sierk & Nies, Henk, 2018. "Empowering citizens or mining resources? The contested domain of citizen engagement in professional care services," Social Science & Medicine, Elsevier, vol. 203(C), pages 1-8.

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