Functions of Government or Other Entity
One of the first distinctions of the two paradigms is the change in function of government. Traditionally, government is the exclusive actor – determines the problem, creates policy/programs and delivers services to address the problem (Salamon, 2002; Frahm & Martin, 2009; Campbell, 2015). It serves as the dominant entity regulating and providing the direct delivery of goods and services by governmental offices or civil servants (Salamon, 2002).
The government’s function shifts in the governance paradigm to one of many actors (Frahm & Martin, 2009). The functions are no longer solely the government’s …show more content…
A hierarchy is evident in the traditional approach, as the authority to explore, invest, or address an issue remains solely with the government from a top-down approach. On the other hand, the governance paradigm disperses authority, encouraging collaborations from different sectors, which removes the hierarchy, and decentralizes the system. Authority flows horizontally as different sectors whether public or private (for-profit or non-profit) participate in the decision-making …show more content…
As Salamon (2002) suggests, governance has altered civic management in significant ways. The challenge also exists in healthcare on interpreting the concept. It was first indirectly mentioned in the World Health’s Organization (WHO) Health Report in 2000, as the responsibility of governments to navigate their health systems in adherence with WHO’s measure of good public health (WHO, 2000; Barbazza & Tello, 2014; Saltman & Duran, 2016). The assertion is that good governance is fundamental to ultimately bettering health outcomes (Barbazza & Tello, 2014). Strengthening governance in healthcare is complex, since it requires stabilizing the logic and interests of many sectors, while improving access, quality, and health outcomes (Saltman & Duran,