Governing for or Governing With? Advancing Governance Models That Include Patients, Caregivers and Communities as Valued Partners

Healthcare governance shapes health system performance. System leaders can redesign governance to better meet the needs of citizens and communities by strengthening collective impact. To create collective impact, we must engage patients, caregivers and the broader public to create a shared vision and invest in improvement. In this paper, we argue for governance models that enable a culture of ongoing learning and improvement aided by expanded patient and public engagement and co-design. Overarching principles combined with more power at the local level offer levers for transformation based on system integration and the insights of diverse partners and perspectives.