Abstract
Knowledge about the political aspects of the delivery of social and health services is necessary in formulating policies that will have the most chance of achieving the desired goal of improved services. Also required for effective action is a critical evaluation of the relationship of long-term goals, as set forth in policies, and short-term action decisions. An ethical imperative based on the principles of distributive justice is proposed as the means of achieving a more equitable and just allocation of resources. Specific practical principles are suggested, including giving the highest priority to access to services, insuring client participation in decision-making, altering programs to fit the life-style of the clients, and persisting in the pursuit of solutions.
Get full access to this article
View all access options for this article.