Health and wellbeing boards as theatres of accountability: a dramaturgical analysis.

Health and wellbeing Boards (HWBs) were established in England in 2013, bringing together partners from local government, health services and consumer champions, to ensure strategic planning based on local needs. Similar partnership-working arrangements have achieved limited success, particularly in...

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Publicado en:Local Government Studies Vol. 47; no. 6; pp. 931 - 951
Autores principales: Visram, Shelina, Hunter, David J., Perkins, Neil, Adams, Lee, Finn, Rachael, Gosling, Jennifer, Forrest, Amanda
Formato: Artículo
Publicado: Taylor & Francis Ltd Dec2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2021
      vid: 47
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      pub: Taylor & Francis Ltd
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        10.1080/03003930.2020.1816543
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        atl: Health and wellbeing boards as theatres of accountability: a dramaturgical analysis.
      aug:
        au:
          Visram, Shelina
          Hunter, David J.
          Perkins, Neil
          Adams, Lee
          Finn, Rachael
          Gosling, Jennifer
          Forrest, Amanda
        affil:
          School of Medicine, Pharmacy and Health, Durham University, Durham, UK
          Independent Consultant, UK
          Management School, University of Sheffield, Sheffield, UK
          Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
      su:
        Well-being
        Local government
        Medical care
        Medical care accountability
        Decision making
      sug:
        subj:
          Well-being
          Local government
          Medical care
          Medical care accountability
          Decision making
      keyword:
        accountability
        dramaturgy
        governance
        Health and wellbeing boards
        partnership
        public engagement
      ab: Health and wellbeing Boards (HWBs) were established in England in 2013, bringing together partners from local government, health services and consumer champions, to ensure strategic planning based on local needs. Similar partnership-working arrangements have achieved limited success, particularly in terms of engaging members of the public in decision-making. Drawing on data collected in five heterogeneous case study sites, we examined the role of HWBs in enhancing local democracy and accountability. Interviews, focus groups and observations were used to explore relationships and interactions between HWB members and the public or their representatives. A dramaturgical perspective was then applied in analysing the data. HWBs were generally not perceived to have achieved their well-intentioned aims; instead, meetings represented carefully staged and scripted performances that tended to inhibit rather than enhance democratic accountability. Our dramaturgical analysis highlights key deficits in the governance of HWBs, which are explored in the paper.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of Local Government Studies is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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          year: 2021
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