This paper examines the implementation of the National Health
Planning and Resources Development Act (P.L. 93-641) in three
San Francisco Bay Area communities during the years 1976-1980. It
focuses on a study of the role of consumers in the planning process
and the policy and political implications of their participation. The
results of the study point to the need to distinguish the effects of
citizen participation on program outcomes from the effects on citi
zens' own interests in the policy area. This finding has implications
for how and under what conditions we may want to encourage
opportunities for citizen participation in policy in the future.
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