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Governance Structures and Accountability in Primary Care

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  • Bernard Dowling
  • Rod Sheaff
  • Susan Pickard

Abstract

Organizations providing public welfare services typically have distinct accountabilities to several parties, and the accountability chains linking these parties are often administered through different governance structures. This article reveals that in primary care in England the accountability chains characterized by different governance structures result in inconsistent levels of accountability.

Suggested Citation

  • Bernard Dowling & Rod Sheaff & Susan Pickard, 2008. "Governance Structures and Accountability in Primary Care," Public Money & Management, Taylor & Francis Journals, vol. 28(4), pages 215-222, August.
    • Handle: RePEc:taf:pubmmg:v:28:y:2008:i:4:p:215-222
    DOI: 10.1111/j.1467-9302.2008.00647.x
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    References listed on IDEAS

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    1. Propper, Carol, 1995. "Agency and incentives in the NHS internal market," Social Science & Medicine, Elsevier, vol. 40(12), pages 1683-1690, June.
    2. Kevin Morrell, 2006. "Governance, Ethics and the National Health Service," Public Money & Management, Taylor & Francis Journals, vol. 26(1), pages 55-62, January.
    3. Mooney, Gavin & Ryan, Mandy, 1993. "Agency in health care: Getting beyond first principles," Journal of Health Economics, Elsevier, vol. 12(2), pages 125-135, July.
    4. Le Grand, Julian, 1991. "Quasi-markets and Social Policy," Economic Journal, Royal Economic Society, vol. 101(408), pages 1256-1267, September.
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