Victory for volunteerism? Scottish health board elections and participation in the welfare state

Scott Greer, Ellen Stewart, Iain Wilson, Peter Donnelly

Research output: Contribution to journalArticlepeer-review

Abstract

This paper presents findings from a multimethod study of pilot elections held to choose members of health boards in the National Health Service in Scotland. We begin by proposing that much current public involvement practice is dominated by a volunteerist model, in which members of the public with time and skills to offer play essentially supportive and non-challenging roles within health care organizations. This model contrasts sharply with the adversarial, political model of electoral democracy. Nonetheless, drawing on a postal survey of voters, non-participant observation of Boards, and semi-structured interviews with candidates, elected Board members and other stakeholders, we demonstrate that the introduction of elections did not overcome the volunteerist slant of current public involvement with health care organizations. Far from offering a ‘quick fix’ for policymakers seeking to ensure accountability of health care organizations, elections may produce remarkably similar outcomes to existing mechanisms of public involvement.
Original languageEnglish
Pages (from-to)221–228
JournalSocial Science & Medicine
Volume106
Early online date8 Feb 2014
DOIs
Publication statusPublished - Apr 2014

Fingerprint

Dive into the research topics of 'Victory for volunteerism? Scottish health board elections and participation in the welfare state'. Together they form a unique fingerprint.

Cite this