About 40 years ago, Luther Christman, PhD, RN, FAAN, wrote about an autonomous nursing organization where nurses would be empowered to control their nursing practice. His idea was an early framework for shared governance. As a young doctoral student, I explored shared governance as a concept; I became increasingly frustrated trying to understand what it was. Many organizations adopted what they...

INTRODUCTION Leadership is a key factor in the success of HIV prevention and treatment. Positive HIV-related outcomes are also affected by funding levels for HIV, health sector resources, disease burden and the socio-economic environment. Leadership on HIV as well as these other factors are affected by the quality of political governance of the country, which may be an overarching factor that i...

We identify the need for a theory of demand for health insurance suited to the informal sector in lowand middle income countries (LMIC) where some 3 billion people lack health cover. Excluded from formal governance structures, they rely on informal arrangements by which rulesin-use shape choices, behaviours and decisions. We explore the fundamental assumptions of standard economic theories of d...

The central question addressed by this study is whether countries with above-average governance grew faster than countries with below-average governance. Using the World Bank’s worldwide governance indicators to measure governance performance, it examines whether a country with governance “surplus” in a given base year (1998) grew faster on average in a subsequent period (19982011) than a count...

Although there is evidence that non-government health system actors can individually or collectively develop practical strategies to address primary health care (PHC) challenges in the community, existing frameworks for analysing health system governance largely focus on the role of governments, and do not sufficiently account for the broad range of contribution to PHC governance. This is impor...

mashhad municipality faces several governance issues including transparency, providing information, justice, accountability and lack of satisfaction on the part of citizens. the necessity of researching these issues and analyzing the current situation of governance in mashhad cannot be denied. this study opens a new horizon in this regard by analyzing the indicators of good governance (particip...