BACKGROUND AND CONTEXT Many countries are giving patients a more active role in health care, on both the individual and collective level. This study focuses on one aspect of the participation agenda on the individual level: self-management. The study explores self-management in practice, including the implications of the difficulties encountered. OBJECTIVE To gain insight into the complexity ...

In 2000, labor unions attempted to enhance their political influence by increasing voter turnout among union members in support of Al Gore. This strategy was thought be especially effective a polity where participation is so low. Labor's efforts helped Gore popular vote victory, but the failed because dynamics Electoral College and low density many regions United States.

The origins of electoral systems have received scant attention in the literature. Looking at the history of electoral rules in the advanced world in the last century, this paper shows that the existing wide variation in electoral rules across nations can be traced to the strategic decisions that the current ruling parties, anticipating the coordinating consequences of different electoral regime...

The number of political parties and the type of electoral system may impact the level of democratic functioning within a government. Models are used to explore whether the number of political parties increases a country’s democracy score on the POLITY IV measure of democracy, and whether countries with proportional representation electoral systems have higher democracy scores than those without...

Based on individual and macro-level data collected in 18 OECD democracies, we find that income inequality at the macrolevel depresses electoral participation. At the level of individual citizens, we find that the effects of income differentials are linear: individuals who are below the median income in society are less likely to participate in elections, while those above the median income are ...

I analyze a costly voting model of elections, where the incumbent can stuff the ballot box, to investigate how electoral fraud affects voters’ participation decisions. I find that two stable equilibria may exist: full abstention equilibrium, where the incumbent wins with certainty and which exists only if the incumbent’s capability to stuff a ballot box is sufficiently strong; and a more effici...

Would holding elections by mail increase voter turnout? Many electoral reform advocates predict that mail ballot elections will boost participation, basing their prediction on the high turnout rate among absentee voters and on the rise in voter turnout after Oregon switched to voting by mail. However, selection problems inherent to studies of absentee voters and Oregon give us important reasons...