Power struggle.
Pearce
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D003256:Community Participation; D003659:Decision Making, Organizational; D006801:Humans; D010344:Patient Advocacy; D010358:Patient Participation; D011209:Power, Psychological; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D013222:State Medicine / Q000592:standards*; D006113:United Kingdom