This article presents a systematic review of the English-language empirical literature about citizen participation to identify the obstacles to its implementation and the most successful ways to address them. Three sets of variables seem to impact effectiveness: contextual factors, including information asymmetries and public officials' attitude; organisational arrangements, including community representation criteria and process design; and process management issues, including group dynamics and collaboration quality. Two recommendations stem from our analysis: internalise decisions in organisational procedures, and establish ongoing interactions between government bodies and their stakeholders. We conclude that half-hearted engagement is unlikely to lead to successful citizen participation.

Purpose – Interactive decision making has become a recurrent practice across countries, policy sectors and tiers of government. The purpose of this paper is to analyze how organizational arrangements, i.e. the way the interactive process is designed, influence its outcomes. Design/methodology/approach – The research is carried out through a multiple case study. Four cases of interactive decision making are analyzed using a qualitative framework. Findings – Findings can contribute to shed light on the organizational underpinnings of the outcomes of interactive decision making. Accessibility, in particular meant as process openness, i.e. the intensity of the decision-making powers that are devolved to the public, seems to represent the key factor in producing positive outcomes, especially if associated to less-formalized arrangements. Practical implications – On the practice oriented side, findings provide decision makers with insights about how to design interactive mechanisms to improve the chances they would “work.” Specifically, finding suggest to launch interactive initiatives only when the public’s expectations in terms of process openness can be satisfied. Originality/value – The way organizational arrangements influence outcomes is likely to be affected by context-specific factors interacting with the formers in generating the latters. Therefore, in order to reach meaningful research results it might be necessary to systematically factor context-specific features in the analysis. Here lies the relative novelty of the paper: although the relation between arrangements and outcomes of interactive decision making has been already investigated by other contributions, the present analysis purposefully focusses on cases occurred in the same policy sector, in one homogeneous geographical location and characterized by the same administrative tradition in order to discount the influence of these factors.

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Background. Prostate cancer (PCa) is the second most commonly diagnosed cancer, and the sixth most common killer among men worldwide (Aubry et al., 2013). This research was motivated by the fact that PCa screening continues to be a controversial topic in the Kazakh medical community. This study aimed at description of how newly diagnosed PCa patients are managed in Pavlodar region of the Kazakhstan Republic and at presentation of a budget impact analysis (BIA) for PCa screening program. Also, we aimed to provide a comparative analysis of pricing system on medical services applied in both private and public healthcare sectors of the Kazakhstan Republic. Methods. New cases of PCa have been retrospectively analyzed for the period from January 2013 to December 2017 based on the information obtained from information system “Policlinic” maintained by the Pavlodar regional branch of the Republican Center for Electronic Health and from Cancer Registry of Pavlodar Regional Oncology Center. All data were analyzed with the help of SPSS 20.0 software. Results. The mean age of PCa patients was 68.34 years (SD = 8.559). The government of Kazakhstan invested 20,437,000 KZT (Kazakhstani tenge) in 2017 equivalently 61,188 USD—to fund a pilot study for examination of 9638 men. From 2013 to 2017, out of 49,334 men residing in Pavlodar region of Kazakhstan 1,248 men were diagnosed with prostate diseases, including 130 PCa cases. The PCa detection rate was equal to two cases per month. Only 22.8% of all PCa cases identified in the region within specified time period were revealed as a result of the government-funded PCa screening program. The average prostate cancer detection rate among the target group of Pavlodar region within the period of 5 years was equal to 0.23%. Conclusion. Based on the fact that the PCa screening program failed to enable adequate detection of new PCa cases, we would not recommend to continue this type of screening unless it is undergone careful revision and replanning.

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