There are deeper issues here which will continue to fester: the structural problems of accountability and responsibility, which are intrinsically poor in Wikipedia.
The universal extension of the HBHC program through two distinctive components of the health care system, with different structural and functional accountabilities, provides an interesting opportunity to examine how contextual factors can act as barriers or facilitators, leading to very different implementation strategies and uptake levels.
Recent evidence is suggestive of substantial gains, although authors point to the need to consider UHC as a diversity approach that addresses structural inequities and democratic accountability (75, 76).
But there are also structural problems to do with accountability, the teachers' unions and the sheer size of the LAUSD.
For example, no effective accountability mechanisms or structural safeguards to ensure multisectoral participation were found to have operated within the Peru CCM during the 2004 2007 period [ 68].
"I hope for new accountability measures, not just structural changes".
"What you have observed today is a combination of the principle of management accountability and acceleration of structural change," said the chief executive of UBS, Marcel Rohner, who will take control of investment banking as part of the management shuffle.
"Accordingly, we will continue to oppose the consideration of any nominee, regardless of party affiliation, to be the CFPB director until key structural changes are made to ensure accountability and transparency at the Consumer Financial Protection Bureau".
It showed that the current accountability relationships make the structural integration of universities and healthcare providers extremely unlikely and, thus, local academic and clinical leaders face the challenge of aligning their institutions within the framework of the existing sub-optimal accountability relationships.
But this map doesn't do much beyond provide a facade of empowerment, implicitly blame the police for crime arising often from structural inadequacies, and prevent meaningful measures of accountability.
