Collaborative Governance of Public Health: A Cultural and Ethical Perspective on Predicting Citizens' Trust in Public Health Services During Medical Emergencies

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Collaborative governance, public health, procedural legitimacy, citizens, participation, Overall Public Trust in Government


Over the years, citizens' expectations of the healthcare sector have increased, especially after the sudden outbreak of COVID-19. Additionally, citizens are becoming more conscious of having a healthier lifestyle based on several environmental and economic issues prevailing worldwide. Hence, empirically testing the predictors of providing excellent public healthcare services and enhancing the resultant citizens' trust in such services is of utmost significance. Simultaneously, the critical role of healthcare workers' capacity in providing quality services to patients in public health institutions and improving healthcare services to develop citizens' trust needs has been considered in this study. Based on a quantitative survey, the current study collected data from 460 individuals regarding three collaborative governance practices and resultant improved public healthcare services. The results revealed the significance of all three collaborative governance of public health practices. Citizen participation was the most impactful, followed by democratic accountability and procedural legitimacy. The study results are valuable to practitioners, policymakers, healthcare service providers, and governments. Among the recommendations are that collaborative governance practices should be developed, the healthcare system should be decentralized to provide the best services to citizens, and public healthcare workers' capabilities should be improved by providing proper training.


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Author Biographies

Chairun Nasirin, STIKES Mataram

Chairun Nasirin is a lecturer at College of Health Sciences (STIKES Mataram), Indonesia. His research is related to health administration and health policy. Some of his research interests include health administration, community nursing, empowerment, health policy, and public health.  He received his Doctor of public administration from Brawijaya University Malang.

I Wayan Winaja, Indonesian Hindu University (UNHI) Denpasar

I Wayan Winaja is a professor at the Doctoral program in Religion and Culture at the Indonesian Hindu University (UNHI) Denpasar. Completed Bachelor Degree in Chemistry Education at Udayana University in 1986 and Masters in Cultural Studies at Udayana University in 2000, and Doctor of Cultural Studies from Udayana University in 2012. He actively writes in a number of national and international journals, magazines, books, and is also a conference speaker national and international.

Arizky Farinsyah Pratama, Universitas Brawijaya

Arizky Farinsyah Pratama is undergraduate student of Faculty of Medicine Universitas Brawijaya, Malang, Indonesia.


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How to Cite

Nasirin, C., Winaja, I. W., & Pratama, A. F. (2023). Collaborative Governance of Public Health: A Cultural and Ethical Perspective on Predicting Citizens’ Trust in Public Health Services During Medical Emergencies. Journal of Ethnic and Cultural Studies, 10(2), 147–165.



Original Manuscript
Received 2023-03-02
Accepted 2023-04-25
Published 2023-04-26