Collaborative place-based health governance systems: stakeholders' perceptions in the Portuguese Baixo Vouga sub-region

Carlos Gonçalves, Gonçalo Santinha, Anabela Santiago, Gonçalo Barros
2021 Ciência & Saúde Coletiva  
This study aimed to assess the Baixo Vouga sub-region (Portugal) governance system through 15 interviews with leaders of institutions with decision-making power and provide healthcare. The interviews were subjected to a content analysis, organized in matrices by cases, categories, subcategories, and indicators. Recording units were extracted from the interviews to produce data for each indicator. A Collaborative Place-based Governance Framework systematizing operational definitions of
more » ... ive governance was implemented to serve as a benchmark for assessing the collaborative and place-based dimensions. The Baixo Vouga sub-Region governance system is collaborative because it is based on a shared structure of principles that translates into the services provided. It has a multilevel and multisector collaboration, and can undertake shared decisions. These dimensions could be reinforced through increased participation, autonomy, subsidiarity if more place-based information and practical knowledge were sought. The system would also benefit from an extensive adoption of bottom-up methods to formulate and implement policies.
doi:10.1590/1413-81232021266.1.40822020 pmid:34133623 fatcat:tj4wc5q7gjdo5oczkfyge33q5i