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Influencing health policy through public deliberation: Lessons learned from two decades of Citizens'/community juries

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  • Degeling, Chris
  • Rychetnik, Lucie
  • Street, Jackie
  • Thomas, Rae
  • Carter, Stacy M.

Abstract

Citizens’/community juries [CJs] engage members of the public in policy decision-making processes. CJs can be employed to develop policy responses to health problems that require the consideration of both community values and scientific evidence. Based on the principles of deliberative democracy, recent reviews indicate that findings from CJs have successfully been used to influence health policy decision-making. Despite this evidence of success, there appears to be a gap between the goals of health researchers who organize CJs and the needs of policy actors and decision makers. Drawing on our experiences working with CJs and recent research on CJ methods, we describe a synopsis of the current state of the art organized around four key questions, and informed by insights from deliberative theory and critical policy studies. Our intention is to stimulate further discussion as to the types of health policy questions that can be usefully addressed through public deliberation, and provide guidance on the methodological and political dimensions that need to be considered in deciding whether a CJ is an appropriate approach for informing a policy decision-making process.

Suggested Citation

  • Degeling, Chris & Rychetnik, Lucie & Street, Jackie & Thomas, Rae & Carter, Stacy M., 2017. "Influencing health policy through public deliberation: Lessons learned from two decades of Citizens'/community juries," Social Science & Medicine, Elsevier, vol. 179(C), pages 166-171.
  • Handle: RePEc:eee:socmed:v:179:y:2017:i:c:p:166-171
    DOI: 10.1016/j.socscimed.2017.03.003
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    References listed on IDEAS

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    1. Carolyn Hendriks, 2005. "Participatory storylines and their influence on deliberative forums," Policy Sciences, Springer;Society of Policy Sciences, vol. 38(1), pages 1-20, March.
    2. Falk Daviter, 2015. "The political use of knowledge in the policy process," Policy Sciences, Springer;Society of Policy Sciences, vol. 48(4), pages 491-505, December.
    3. Degeling, Chris & Carter, Stacy M. & Rychetnik, Lucie, 2015. "Which public and why deliberate? – A scoping review of public deliberation in public health and health policy research," Social Science & Medicine, Elsevier, vol. 131(C), pages 114-121.
    4. John Boswell & Catherine Settle & Anni Dugdale, 2015. "Who Speaks, and in What Voice? The Challenge of Engaging 'The Public' in Health Policy Decision-Making," Public Management Review, Taylor & Francis Journals, vol. 17(9), pages 1358-1374, October.
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    7. Street, Jackie & Duszynski, Katherine & Krawczyk, Stephanie & Braunack-Mayer, Annette, 2014. "The use of citizens' juries in health policy decision-making: A systematic review," Social Science & Medicine, Elsevier, vol. 109(C), pages 1-9.
    8. Martin, Graham P., 2008. "Representativeness, legitimacy and power in public involvement in health-service management," Social Science & Medicine, Elsevier, vol. 67(11), pages 1757-1765, December.
    9. Li, Kathy K. & Abelson, Julia & Giacomini, Mita & Contandriopoulos, Damien, 2015. "Conceptualizing the use of public involvement in health policy decision-making," Social Science & Medicine, Elsevier, vol. 138(C), pages 14-21.
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