title: Influence of health promotion bureaucracy on community participation: a Canadian case study.
abstract: The purpose of this paper is to illustrate, through a Canadian case study, the bureaucratic support and obstacles for community participation in health promotion. The paper begins with a brief history of the development of a participatory health promotion programme in Canada. The role of bureaucracies on participation of communities is highlighted. Secondly, the paper describes how a variety of bureaucratic factors affected grassroots community participation efforts of local projects in one province. Finally, discussion focuses on how community participation is constrained in a bureau-cratically mediated activity such as health promotion.
authors.affiliation: Social Program Evaluation Group, Queen's University, Kingston, Ontario, Canada K7L 3N6. boycew@post.queensu.ca
authors.forename: William F
authors.initials: WF
authors.lastname: Boyce
mesh_terms: D002170:Canada; D003256:Community Participation; D006077:Government Agencies / Q000458:organization & administration*; D006293:Health Promotion / Q000379:methods*; D006801:Humans