Distributed Democracy: Health Care Governance in Ontario
The governance of health care in Ontario has long provided opportunities for citizens and stakeholders to participate, deliberate, and influence health care policy and investment decisions. Yet, despite providing opportunities for deliberation and influence amongst citizens, we don’t know how democratic the system actually is.
Distributed Democracy advances an original analytical framework to guide an investigation of democracy and accountability relationships in complex policy making environments. Applying the analytical framework in the context of health care governance in Ontario from 2004–2019, Carey Doberstein shows that the popular criticisms of health care governance in Ontario are misplaced. The democratic system of local health care governance is often plagued by severed connections among the various layers of deliberation and policy-making. An incisive analysis with considerable relevance for policy-makers and across academic disciplines, Distributed Democracy makes an important contribution to our understanding of policy development and decision-making as well as the limitations and potential of distributed democratic accountability.
- Series: IPAC Series in Public Management and Governance
- World Rights
- Page Count: 240 pages
- Dimensions: 6.0in x 1.0in x 9.0in
Author InformationCarey Doberstein is an assistant professor of political science at the University of British Columbia.
Table of contents
List of Acronyms
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
Subjects and Courseshealth and medicine \ health \ health policy
health and medicine \ health
health and medicine
philosophy \ social political and legal philosophy
political science \ canadian politics \ provincial politics
political science \ canadian politics \ public policy and administration
political science \ canadian politics
political science \ political theory and methodology