ARTICLE: PDF OnlyDemocratization of health care Challenge for nursingWatts, Robin J. MHScAuthor Information Associate Professor Curtin University of Technology Perth, Australia Advances in Nursing Science: January 1990 - Volume 12 - Issue 2 - p 37-46 Buy Abstract One of the key foundational principles of primary health care is community involvement. The implementation of meaningful community involvement requires democratic institutions and processes within the health care system. In this context the meaning of substantive democracy and the implications of this concept for the health care system are briefly discussed. The relationship between the purpose, values, and foundational concepts of democracy and those of nursing is examined in greater detail. Based on the congruency between these, the role of nursing in generating and enhancing democratic processes within the health care system is discussed and a model of nursing practice proposed. © 1990 Aspen Publishers, Inc.