An Overview of Citizen Participation in Health Planning: Lessons Learned from the Literature

Perlstadt, Harry; Jackson‐Elmoore, Cynthia; Freddolino, Paul P.; Reed, Celeste Sturdevant

doi:10.1002/ncr.87406

Cited by 5 publications

(4 citation statements)

References 10 publications

(11 reference statements)

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“…This is consistent with some research findings conducted by many researchers that education can increase people's participation (see for instance, Perlstadt, et al, 1998). Farmers with higher education level were prepared to pay irrigation service fees in full because they could make better vision over the continuity of pump irrigation in relation to their income prospect.…”

Section: Analysis Of Binary Logistic Regressionsupporting

confidence: 93%

Factors Influencing Payment of Irrigation Service Fees

Budhi¹

2006

Makara Hubs-Asia

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This article attempts to identify factors affecting participation in payment of irrigation service fees. There are five variables comprising demographic and economic of land variables were tested to find the variables that influenced the participation significantly. The five variables tested consisted of age and formal education as demographic variables; land productivity, land size, and land tenure as the economic of land variables. The results showed that formal education (demographic variable) had positive relationship and land size (economic of land variable) had negative relationship with the participation. Positive relationship between formal education and participation in payment of irrigation service fees meant that the participation increased as farmers' education increased. Meanwhile, negative relationship between land size and the participation in payment of irrigation service fees showed that the farmers' participation would increase as the land size owned by farmers decreased. In other words, participation in payment of irrigation service fees was higher among farmers with small lands rather than that among farmers with large lands.

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Section: Analysis Of Binary Logistic Regressionsupporting

confidence: 93%

Factors Influencing Payment of Irrigation Service Fees

Budhi¹

2006

Makara Hubs-Asia

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“…At the core of these conceptual debates is the nature of the citizen‐expert relationship – what it is and what it should be 5 . Much of the empirical research on public participation has documented a history of expert‐driven public participation processes where ‘citizens’, ‘users’ or ‘lay persons’ are consulted to determine their views about a narrow range of issues defined by someone else 1,6–20 . Citizens are challenging these roles and the limited opportunities that have existed to make meaningful contributions to planning and policy processes 21–23 and new approaches to public participation design have been formulated that emphasize greater interaction between the public and experts 23–28 …”

Section: Introduction and Study Objectivesmentioning

confidence: 99%

“…Public and patient involvement in health planning processes has long been recognized as a means for opening up decision‐making processes, safeguarding public interest, and incorporating user perspectives or ‘patient voice’ into professional and planning discussions 1,4,6–11 . Despite a long history of attempts to involve the public and patients in health planning processes, such attempts often fail to move from rhetoric to reality 10–17 . A new wave of policies has been introduced in the UK's National Health Service to encourage public and patient involvement both in decision making about their individual care and in service development at the system level 5,6,14–17 .…”

Section: Introduction and Study Objectivesmentioning

confidence: 99%

“…Despite a long history of attempts to involve the public and patients in health planning processes, such attempts often fail to move from rhetoric to reality 10–17 . A new wave of policies has been introduced in the UK's National Health Service to encourage public and patient involvement both in decision making about their individual care and in service development at the system level 5,6,14–17 . Similarly, provincial governments across Canada are reforming health systems with intents to increase public involvement and thereby open up decision‐making processes and incorporate user perspectives or ‘patient voice’ into professional and planning discussions 1,6–11 …”

Section: Introduction and Study Objectivesmentioning

confidence: 99%

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From rhetoric to reality: including patient voices in supportive cancer care planning

Gold

Abelson

Charles

2005

Health Expectations

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Objective To explore the extent and manner of patient participation in the planning of regional supportive care networks throughout the province of Ontario. We consider the disconnect between the rhetoric and reality of patient involvement in network planning and co-ordination. ContextIn 1997, the Province of Ontario, Canada, established a new, regionalized cancer care system. By transferring responsibility to the regional level and to networks, the architects of the new provincial system hoped to broaden participation in decision making and to enhance the responsiveness of decisions to communities.Research approach Through a qualitative, multiple case study approach we evaluated the processes of involving patients in network development. In-depth, semi-structured interviews and document analysis were complemented by observations of provincial meetings, regional council and network meetings.Results The network development processes in the three case study regions reveal a significant gap between intentions to involve patients in health planning and their actual involvement. This gap can be explained by: (i) a lack of clear direction regarding networks and patient participation in these networks; (ii) the dominance of regional cancer centres in network planning activities; and, (iii) the emergence of competing provincial priorities.Discussion These three trends expose the complexity of the notion of public participation and how it is embedded in social and political contexts. The failed attempt at involving patients in health planning efforts is the result of benign neglect of public participation intents and the social and political contexts in which public and patient participation is meant to occur.

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