%0 Journal Article
%T Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale?
%A David Snadden
%A Martha MacLeod
%A Neil Hanlon
%A Trish Reay
%J International Journal of Health Services
%@ 1541-4469
%D 2019
%R 10.1177/0020731418807094
%X This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of a regional health authority to engage actively with community members to develop more integrated and patient-centered primary health care delivery. We examine points of tension between providers and administrators engaged in the reform process and show how these are often expressed discursively as a binary opposition involving central and local interests. We offer a critical examination of this politics of scale and seek to unpack claims of hierarchy and power as a means to offer insight into health care reform processes more generally
%K health care reform
%K networks
%K partnerships
%K power
%K Canada
%U https://journals.sagepub.com/doi/full/10.1177/0020731418807094