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

Brad Wright

Public Management Review, 2015, vol. 17, issue 1, 57-71

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.

Date: 2015
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DOI: 10.1080/14719037.2014.881537

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