Journal
INTERNATIONAL JOURNAL OF HEALTH SERVICES
Volume 39, Issue 4, Pages 705-724Publisher
BAYWOOD PUBL CO INC
DOI: 10.2190/HS.39.4.g
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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 oil a reanalysis of data from a 2001 survey of health system governors from 134 RHAs throughout Canada, this study explores the overal. demographic composition of the citizen governance boards, as well as then 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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