Distributed Democracy: Health Care Governance in Ontario

By Carey Doberstein

© 2020

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.

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Product Details

  • Series: IPAC Series in Public Management and Governance
  • World Rights
  • Page Count: 240 pages
  • Dimensions: 6.0in x 1.0in x 9.0in
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SKU# SP006422

  • AVAILABLE MAY 2020

    From: $45.00

    Regular Price: $60.00

    ISBN 9781487507251
  • AVAILABLE MAY 2020

    From: $45.00

    Regular Price: $60.00

Quick Overview

This is the first book-length work to analyse Ontario’s Local Health Integration Networks

Distributed Democracy: Health Care Governance in Ontario

By Carey Doberstein

© 2020

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.

Continue Reading Read Less

Product Details

  • Series: IPAC Series in Public Management and Governance
  • World Rights
  • Page Count: 240 pages
  • Dimensions: 6.0in x 1.0in x 9.0in
  • Author Information

    Carey Doberstein is an assistant professor of political science at the University of British Columbia.
  • Table of contents

    Acknowledgments 
    List of Acronyms 

    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 

    References 
    End Notes

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