With the continued growth in size and complexity of healthcare organizations, trustees/directors are increasingly called upon to provide strategic leadership. In response, new recruitment methods have been adopted in order to meet the need for skilled and knowledgeable trustees. Volunteer governance models need to be carefully evaluated in comparison to government control models in order to determine how relations of accountability and responsibility change with a shift in models. The central question is whether volunteer governance remains a viable concept in Canada.
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References
1.
FennellMLAlexanderJA. Governing boards and profound organizational change in hospitals. Medical Care Review1989; 46: 157–187.
PearceJL. Volunteers at work. In: OttJS, ed. Understanding Non-profit Organizations: Governance, Leadership, and Management. Boulder, Colorado: Westview Press; 2001: 324–8.
5.
BrockKL. Promoting voluntary action and civil society through the state. ISUMA, Canadian Journal of Policy Research2001; 2(2): 53–62.
6.
FinnTD. Independent review agencies and accountability: Snapping at the heels of government?Optimum, The Journal of Public Sector Management1993; 24: 9–22.
7.
JacksonDKHollandT P. Measuring the effectiveness of non-profit boards. Nonprofit and Voluntary Sector Quarterly1998; 27: 159–182.
8.
DayPKleinR. Accountabilities, five public services. New York: Tavistock; 1987: 67.
9.
DavidsonAR. British Columbia's health reform: “New directions” and accountability. Canadian Journal of Public Health1999; 90: 35–42.
LeeSYDChenWWeinerBJ. Communities and hospitals: Social capital, community accountability, and service provision in U.S. community hospitals. Health Services Research2004; 39(5): 1487–1508.
12.
MogensenS. The power and the glory: Embracing the joy of accountability. Board Leadership2004; 76: 1–3.