Article: British Columbia's health reform: "New directions" and accountability

ABSTRACT

The health policy New Directions committed the British Columbia government to a population health perspective and extensive community involvement in the health services reform process. The policy envisaged elected citizen boards with authority to raise revenues and exercise a significant degree of local autonomy. Academic and public attention has been paid to the decision in November 1996 to collapse New Directions' two-tier governance structure into a single level. Less attention has been paid to the profound changes that occurred prior to the

government's reversal on the question of governance. This paper focusses on those changes. During the critical three years between the ...

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