IDEAS home Printed from https://ideas.repec.org/a/ids/ijpubp/v4y2009i3-4p296-313.html
   My bibliography  Save this article

A research note: the exploration of political accountability in primary healthcare organisations

Author

Listed:
  • Carolyn J. Cordery

Abstract

Increasing demands on publicly funded healthcare systems have led to calls for reform and improved performance especially in primary healthcare, where early detection and treatment of disease along with the promotion of healthy lifestyles, should lead to improve social and economic outcomes (WHO, 1978). In New Zealand, recent primary healthcare reforms have increased funding to private not-for-profit organisations, and consequent performance monitoring requires them to be fully and openly accountable and be responsive to their communities (Minister of Health, 2001). These requirements follow the perceived wisdom that increased community input leads to more cost-effective primary healthcare delivery. However, this exploratory study illustrates that when political accountability is transferred to semi-autonomous organisations, effective processes and relationships take time to develop. Government funders should balance their expectations against those of providers and communities, in order to build and sustain healthy relationships for a more effective health system.

Suggested Citation

  • Carolyn J. Cordery, 2009. "A research note: the exploration of political accountability in primary healthcare organisations," International Journal of Public Policy, Inderscience Enterprises Ltd, vol. 4(3/4), pages 296-313.
    • Handle: RePEc:ids:ijpubp:v:4:y:2009:i:3/4:p:296-313
    as

    Download full text from publisher

    File URL: http://www.inderscience.com/link.php?id=23494
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ids:ijpubp:v:4:y:2009:i:3/4:p:296-313. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sarah Parker (email available below). General contact details of provider: http://www.inderscience.com/browse/index.php?journalID=97 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.