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Governance, commissioning and public health$
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Linda Marks

Print publication date: 2014

Print ISBN-13: 9781447304944

Published to Policy Press Scholarship Online: January 2015

DOI: 10.1332/policypress/9781447304944.001.0001

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Dimensions of governance

Dimensions of governance

(p.21) CHAPTER TWO Dimensions of governance
Governance, commissioning and public health

Linda Marks

Policy Press

Governance is a multidimensional and somewhat slippery concept, associated with a set of principles, such as accountability and equity; arrangements for the exercise of legitimate authority through regulation, standards and targets; and processes for ensuring accountability and managing risk within organisations. 'Modes' of decision-making include market mechanisms, networks and hierarchies, although these co-exist in practice. This chapter considers dimensions of governance and their relevance for population health and local commissioning. Drawing on study data from interviews and focus groups, it discusses stewardship of population health, accountability arrangements, partnership working and approaches to corporate governance. 'Good governance' involves commitment to promoting population health and health equity across national strategies and local practice and needs to be reflected through governance arrangements, including those for audit and performance management. Governance for population health involves understanding the impact of different dimensions of governance and negotiating complex governance arrangements across partnerships, networks and sectors.

Keywords:   dimensions of governance, good governance, stewardship, accountability, partnerships

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