Title Distributed democracy : health care governance in Ontario / Carey Doberstein

Published Toronto ; Buffalo ; London : University of Toronto Press, [2020]

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Description 1 online resource (xiv, 218 pages) Series Institute of Public Administration of Canada series in public management and governance Institute of Public Administration of Canada series in public management and governance. Contents 1. Introduction -- 2. The Democratic Arenas Framework -- 3. The Evolution of Health Care Governance in Ontario -- 4. Procedural Decision-Making Bodies That Enable and Constrain LHINs -- 5. LHINs as Mandated Decision-Making Sites -- 6. LHIN Advisory Committees and Public Engagement -- 7. A Democratic Arenas Analysis of LHINs -- Appendix -- Notes -- References -- Index Summary "The governance of health care in Ontario has long provided many opportunities for citizens and stakeholders to participate, deliberate and influence health care policy and investment decisions. Yet, despite providing more opportunities for citizen deliberation and influence, this book asks, is the system actually democratic? To answer this question, Distributed Democracy advances an original analytical framework to guide an investigation of democracy and accountability relationships in complex policy making environments. Using an analytical framework in the context of health care governance in Ontario from 2004-2019, this book reveals that the popular criticisms of health care governance in Ontario are misplaced, and in fact, misrepresent other problems: the democratic system of local health care governance is often plagued by severed connections among the various layers of deliberation and policy-making. The lessons for the design of truly democratic governance extend beyond the case of health care in Ontario into the numerous policy realms for which citizen and stakeholder participation and deliberation is increasingly practiced."-- Provided by publisher Bibliography Includes bibliographical references and index Notes Online resource; title from PDF title page (JSTOR, viewed November 5, 2020) Subject Public health administration -- Ontario -- Evaluation Public health -- Political aspects -- Ontario Public health -- Ontario -- Citizen participation Medical policy -- Ontario -- Evaluation Public health administration. Public health. Medical policy. Public Health Administration Public Health Health Policy public health. POLITICAL SCIENCE -- Public Affairs & Administration. Public health administration Public health Medical policy Medical policy -- Evaluation Public health administration -- Evaluation Public health -- Citizen participation Public health -- Political aspects SUBJECT Ontario https://id.nlm.nih.gov/mesh/D009864 Subject Ontario Form Electronic book ISBN 1487535872 9781487535889 1487535880 9781487535872

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