As a participant in the policy process, the role of the people is very large. Especially for the implementation of democracy, citizen participation has been recognized as one of the most important device. As local government institutions have lifted in the stabilization phase as compared to the past, several municipalities and the central government's initiatives very interested in the policy-making process has increased. So in actual real policy decisions and the active participation of local

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... eople do? In this study, regional imbalances, particularly with regard to how to relieve the public agency that is recognized as one of the previous decision with regard to the involvement of local residents and physicians meaningful results were measured. Lessons and implications of this study for management leadership are presented. ■ keyword :|Policy Decision Making|Passive Participation|Active Participation|Local Government|Regional Imbalance|