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Voice and choice by delegation.
Hester van de Bovenkamp1, Hans Vollaard, Margo Trappenburg
1Erasmus University.
Journal of Health Politics, Policy and Law
|October 12, 2012
Summary
Delegation offers a new way for citizens to influence public services, acting as an alternative to traditional exit (choice) or voice. However, this method, while potentially reducing user inequality, may introduce new representation issues.
Area of Science:
- Social Sciences
- Public Administration
- Political Science
Background:
- Western countries increasingly offer citizens avenues to influence public services, aiming to enhance quality and democratic participation.
- Citizen influence is often conceptualized through Albert Hirschman's framework of exit (choice), voice, and loyalty.
Purpose of the Study:
- To introduce and analyze delegation as a novel addition to existing frameworks of citizen influence on public services.
- To explore the potential of delegation to address issues of inequality in user engagement with public services.
Main Methods:
- The study identifies delegation as a distinct mechanism for citizen influence.
- It uses Dutch healthcare as a case study to empirically investigate delegation.
- Analysis focuses on how delegation facilitates or complicates exit/choice and voice.
Main Results:
- Delegation allows individuals to exercise choice or voice with reduced effort compared to direct methods.
- Empirical findings indicate that direct exit and voice options are underutilized, potentially causing user inequality.
- Delegation is explored as a solution to enhance participation and mitigate inequality.
Conclusions:
- Delegation presents a valuable addition to understanding citizen engagement with public services.
- While delegation can increase participation and potentially reduce inequality, it also introduces challenges related to representativeness and equity.
- Further research is needed to fully understand the implications of delegation in public service governance.
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