Abstract
a southern United States city. The framework of analysis includes the following two elements: (1) structure-the context or setting in which the participates, including goals and purposes of the health center, organization of the center, and the funding mechanism; (2) processincluding the health center's operations and the role of consumers. For the past seven years, the notion of maximum feasible has surfaced dramatically in the United States in a number of spheres of activities ranging from education to health. Regarding community health centers and neighborhood schools, participation is sometimes used co-terminously with and is often undifferentiated from consumer or community. Thus, we sometimes talk about citizen or control when we really mean or we talk about community control when we really mean community involvement or (Hollister 1970). When, therefore, we examine the effectiveness of citizen or citizen control, we have not considered the basic assumption under which a program has been promulgated. Are citizens really supposed to participate, in an advisory capacity, or do they have the ultimate control over all policy matters regarding the program? In either case, what is the nature of public accountability associated with in health care? Since many federally-funded programs operate through a series of sponsoring or delegated agencies (such as medical societies, for example, who in turn may delegate authority of running these programs
Published Version
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