self-governance

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self-governance

1. Self-rule; local responsibility for administration and functions of an organization, even though it is part of a larger entity.
2. A model of health care management in which the power base for decisions of patient care is decentralized. The responsibility and accountability for patient care rest directly with all levels of care providers through self-direction, self-regulation, and self-management. Advisory committees reflecting a cross section of caregivers (new graduates, experienced professionals, faculty, and managers) maintain final decision-making authority within the work setting.
See: shared governance