000			02572naa a2200205uu 4500
001			0052715322237
003			OSt
005			20190211172111.0
008			100527s1999 xx ||||gr |0|| 0 eng d
100	1		_aHAYLLAR, Mark R. _923758
245	1	0	_aReforms to enhance accountability and citizen involvement : _ba case study of the Hong Kong hospital authority
260			_aNew York : _bMarcel Dekker, _c1999
520	3		_aThe article begins by examining current issues in thinking about accountability, citizen involvement and empowerment. The discussion then moves to the particular context of Hong Kong. Recent reforms to public hospital services are reviewed in the light of the territory's traditional values of paternalistic bureaucracy and minimal citizen involvement. It is shown that despite good intentions to enhance public accountability and cgitizen involvement, in practice there has been little substantive change in the distribution of power between the ruling elite, health care professionals, and the actual service users. Whilst more information about service performance may now be available, opportunities for citizen involvement and representation continue to be carefully managed by the administration. The net result is that only a very few members of the lay public have been appointed to the new bodies that are now responsible for the governance of the public hospitals. Nearly all of those appointed to such bodies are unrepresentative of the normal service users being drawn, instead, from members of the mostly non-public hospital users - namely Hong Kong's very wealthy professional and business elites. For most of the general public, therefore, the reforms have been less about empowerment and involvement and more about informing them of the changes that have been introduced or of educating them so that abuses of the system can be reduced, or their help enlisted in locally organized fund-raising functions. The article concludes that however well-meaning the reformers might have been in terms of endeavouring to enhance accountability and citizen involvement, the impact of such efforts are likely to be seriously limited whenever underlying administrative or social values conflict with those that ostensibly guide the reforms.
590			_aVolume 22
590			_aNumbers 3-4
773	0	8	_tInternational Journal of Public Administration - IJPA _g22, 3-4, p. 461-498 _dNew York : Marcel Dekker, 1999 _xISSN 01900692 _w
942			_cS
998			_a20100527 _b1532^b _cDaiane
998			_a20100531 _b1642^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c33640 _d33640
041			_aeng