Paap W R
Am J Public Health. 1978 Jun;68(6):578-82. doi: 10.2105/ajph.68.6.578.
The fact that consumers have problems in utilizing their formal power as board members is usually attributed to individual deficiencies or cultural differences. The position argued here is that such views need to be questioned and amended. Thus, the ties between a health center and the larger health care system, the relations of consumers to their community environments, and the internal organization of health centers are examined as structural factors which limit the effectiveness of consumer board members. Despite the magnitude and durability of such factors, suggestions are made for increasing the effectiveness of consumer-based boards.
消费者在行使其作为董事会成员的正式权力时存在问题，这一事实通常归因于个人缺陷或文化差异。本文所持的观点是，此类观点需要受到质疑并加以修正。因此，健康中心与更大的医疗保健系统之间的联系、消费者与其社区环境的关系以及健康中心的内部组织，都被视作限制消费者董事会成员效力的结构因素进行研究。尽管这些因素影响重大且持久，但文中仍提出了提高消费者主导型董事会效力的建议。
