Caring for the Health Commons: What it is and Who's Responsible for it

30 Pages Posted: 21 Feb 2013

See all articles by Michael D. McGinnis

Michael D. McGinnis

Indiana University Bloomington - Department of Political Science; Indiana University Bloomington - School of Public & Environmental Affairs (SPEA)

Date Written: February 20, 2013

Abstract

This paper investigates the potential relevance to health care reform of the Nobel Prize-winning research of Elinor Ostrom on community-based management of natural resource commons. Two related interpretations of the concept of a “health commons” are considered, the first (a micro-commons) consisting of specific programs of quality improvement or health promotion, and the second encompassing the entire system of physical, financial, human, and social resources relevant to the delivery of health care in a region. The proliferation of micro-commons has deepened the fragmentation of health care delivery systems, and rising costs of health care threaten the long-term sustainability of this mode of delivery. Cross-stakeholder collaborations can serve as “stewards” of either of these health commons, under conditions analogous to the Design Principles identified by Ostrom. Examples from the case of Grand Junction, Colorado, are used to illustrate the relevance of these principles to shared stewardship of a regional health commons. The paper concludes with a set of questions that can help assess a community’s ability to more effectively manage their own system of health care delivery.

Suggested Citation

McGinnis, Michael D., Caring for the Health Commons: What it is and Who's Responsible for it (February 20, 2013). Available at SSRN: https://ssrn.com/abstract=2221413 or http://dx.doi.org/10.2139/ssrn.2221413

Michael D. McGinnis (Contact Author)

Indiana University Bloomington - Department of Political Science ( email )

Bloomington, IN
United States

Indiana University Bloomington - School of Public & Environmental Affairs (SPEA) ( email )

1315 East Tenth Street
Bloomington, IN 47405
United States

Register to save articles to
your library

Register

Paper statistics

Downloads
270
Abstract Views
1,302
rank
115,594
PlumX Metrics