Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale?
International Journal of Health Services, Forthcoming
Posted: 6 Dec 2019
Date Written: October 18, 2018
This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of a regional health authority to engage actively with community members to develop more integrated and patient-centered primary health care delivery. We examine points of tension between providers and administrators engaged in the reform process and show how these are often expressed discursively as a binary opposition involving central and local interests. We offer a critical examination of this politics of scale and seek to unpack claims of hierarchy and power as a means to offer insight into health care reform processes more generally.
Keywords: health care reform, networks, partnerships, power, Canada
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