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Voices of the Vulnerable: Community health centres and the promise and peril of consumer governance

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  • Brad Wright

Abstract

Various efforts to give health care consumers a voice in decision-making have been attempted since at least the mid-twentieth century, with little success. In this article, I focus on one form of consumer participation: the requirement for community health centres in the United States to be governed by a consumer majority board. I examine the historical origins and theoretical assumptions motivating the requirement, summarize recent research that demonstrates how these assumptions are violated in practice, and suggest some prescriptive policy guidelines for the effective use of consumer participation in health care decision-making.

Suggested Citation

  • Brad Wright, 2015. "Voices of the Vulnerable: Community health centres and the promise and peril of consumer governance," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 57-71, January.
    • Handle: RePEc:taf:pubmgr:v:17:y:2015:i:1:p:57-71
    DOI: 10.1080/14719037.2014.881537
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    References listed on IDEAS

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    Cited by:

    1. Julia Rötzmeier-Keuper, 2020. "Consumer Vulnerability: Overview And Synthesis Of The Current State Of Knowledge And Future Service-Related Research Directions," Working Papers Dissertations 65, Paderborn University, Faculty of Business Administration and Economics.
    2. Meng, Jie & Layton, Roger & Huang, Yimin, 2016. "Why do some consumers shop in this pharmacy? A cross-check of vulnerable characteristics and store types," Journal of Retailing and Consumer Services, Elsevier, vol. 30(C), pages 116-130.

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