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Voices of the Vulnerable: Community health centres and the promise and peril of consumer governance

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  • Brad Wright

Abstract

Various efforts to give health care consumers a voice in decision-making have been attempted since at least the mid-twentieth century, with little success. In this article, I focus on one form of consumer participation: the requirement for community health centres in the United States to be governed by a consumer majority board. I examine the historical origins and theoretical assumptions motivating the requirement, summarize recent research that demonstrates how these assumptions are violated in practice, and suggest some prescriptive policy guidelines for the effective use of consumer participation in health care decision-making.

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  • Brad Wright, 2015. "Voices of the Vulnerable: Community health centres and the promise and peril of consumer governance," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 57-71, January.
    • Handle: RePEc:taf:pubmgr:v:17:y:2015:i:1:p:57-71
    DOI: 10.1080/14719037.2014.881537
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    1. Lehoux, P. & Daudelin, G. & Abelson, J., 2012. "The unbearable lightness of citizens within public deliberation processes," Social Science & Medicine, Elsevier, vol. 74(12), pages 1843-1850.
    2. Jill Grant, 2007. "The Participation of Mental Health Service Users in Ontario, Canada: A Canadian Application of the Consumer Participation Questionnaire," International Journal of Social Psychiatry, , vol. 53(2), pages 148-158, March.
    3. Peterson, Paul E., 1970. "Forms of Representation: Participation of the Poor in the Community Action Program," American Political Science Review, Cambridge University Press, vol. 64(2), pages 491-507, June.
    4. Steckler, A.B. & Herzog, W.T., 1979. "How to keep your mandated citizen board out of your hair and off your back: a guide for executive directors," American Journal of Public Health, American Public Health Association, vol. 69(8), pages 809-812.
    5. Geiger, H.J., 2002. "Community-oriented primary care: A path to community development," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1713-1716.
    6. Paap, W.R., 1978. "Consumer-based boards of health centers: structural problems in achieving effective control," American Journal of Public Health, American Public Health Association, vol. 68(6), pages 578-582.
    7. Bachrach, Peter & Baratz, Morton S., 1963. "Decisions and Nondecisions: An Analytical Framework," American Political Science Review, Cambridge University Press, vol. 57(3), pages 632-642, September.
    8. Vladeck, B.C., 1977. "Interest group representation and the HSAs: health planning and political theory," American Journal of Public Health, American Public Health Association, vol. 67(1), pages 23-29.
    9. El Enany, Nellie & Currie, Graeme & Lockett, Andy, 2013. "A paradox in healthcare service development: Professionalization of service users," Social Science & Medicine, Elsevier, vol. 80(C), pages 24-30.
    10. Contandriopoulos, Damien, 2004. "A sociological perspective on public participation in health care," Social Science & Medicine, Elsevier, vol. 58(2), pages 321-330, January.
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    Cited by:

    1. Julia Rötzmeier-Keuper, 2020. "Consumer Vulnerability: Overview And Synthesis Of The Current State Of Knowledge And Future Service-Related Research Directions," Working Papers Dissertations 65, Paderborn University, Faculty of Business Administration and Economics.
    2. Meng, Jie & Layton, Roger & Huang, Yimin, 2016. "Why do some consumers shop in this pharmacy? A cross-check of vulnerable characteristics and store types," Journal of Retailing and Consumer Services, Elsevier, vol. 30(C), pages 116-130.

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