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Journal of Public Administration

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TitleDoes Public Participation Increase Stakeholders’ Efficacy? A Case Study of the National Health Insurance Committee
作者Kai-Ling Luo
作者說明Kai-Ling Luo, Phd of Political Science, National Chengchi University and Research Fellow, The European Research Center on Contemporary Taiwan (ERCCT), University of Tuebingen, Germany.
摘要“Governmental committees” are a type of collegial organization for negotiation and deliberation of critical policies in the executive branch, whereas decision makers are bureaucrats, experts and representatives of related groups. Although the stakeholders can strengthen the opportunity of policy participation through governmental committees, they are often criticized for their participatory procedures and outcomes. Thus, the aim of this research is to explore whether committee participation can improve the efficacy of stakeholder groups. In order to elaborate the impact of participation on the efficacy of stakeholders, in this study, the concept of participation is divided into the institutional and behavioral levels, while stakeholders’ efficacy is discussed on administrative, democratic, and substantive sub-dimensions. By analyzing the survey of stakeholders and the meeting minutes of the National Health Insurance Committee, this study attempts to illustrate the relationship between participation and efficacy. The results are illustrated as follows: Three sub-dimensions of efficacy are more positive than negative. The democratic dimension holds the highest rating while the substantive efficacy is the lowest. In terms of participative behavior, the frequency of attendance is significantly positive correlated to the three efficacies. However, the statement and proposal variables separately result in negative outcomes of the administrative and substantive efficacy. These findings uncover the nature of committee participation: Regardless of whether participants are skeptical of the administrative and democratic function of governmental committees or not, the institutional factor has a positive effect, meaning empowered groups have positive feedback on substantive efficacy. Nevertheless, after the participatory cost and decision outcome are taken into account, the stakeholders’ normative expectations of governmental committees are transferred to the pursuit of substantive political interests.

Keywords: governmental committee, stakeholder, public participation, efficacy, National Health Insurance Committee
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