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A sociological perspective on public participation in health care

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  • Contandriopoulos, Damien

Abstract

This paper presents conclusions drawn from a comparative analysis of three qualitative case studies of participation processes at the regional level in Quebec's healthcare system in Canada. Our objective is twofold: primarily, to draw on our observations to elaborate and discuss a sociological framework for the analysis of public participation; and secondarily, to use our data to criticise many pervasive but questionable preconceptions in the scientific literature on public participation. The framework used applies the social theory of P. Bourdieu in conjunction with the representation framework of H.F. Pitkin to demonstrate how any form of participation will imply some implicit or explicit delegation. The significance of the analysis is its focus on the social operations implied in these acts of delegation and in the use of the concept of symbolic struggles to understand the conflicts arising when the intrinsic legitimacy of the public is appropriated.

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  • Contandriopoulos, Damien, 2004. "A sociological perspective on public participation in health care," Social Science & Medicine, Elsevier, vol. 58(2), pages 321-330, January.
    • Handle: RePEc:eee:socmed:v:58:y:2004:i:2:p:321-330
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    Citations

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    Cited by:

    1. Nitsch, Martina & Waldherr, Karin & Denk, Enrica & Griebler, Ursula & Marent, Benjamin & Forster, Rudolf, 2013. "Participation by different stakeholders in participatory evaluation of health promotion: A literature review," Evaluation and Program Planning, Elsevier, vol. 40(C), pages 42-54.
    2. Plaxcedes Chiwire & Charlotte Beaudart & Silvia M. Evers & Hassan Mahomed & Mickaël Hiligsmann, 2022. "Enhancing Public Participation in Public Health Offerings: Patient Preferences for Facilities in the Western Cape Province Using a Discrete Choice Experiment," IJERPH, MDPI, vol. 19(1), pages 1-26, January.
    3. Maguire, Kath & Britten, Nicky, 2017. "“How can anybody be representative for those kind of people?” Forms of patient representation in health research, and why it is always contestable," Social Science & Medicine, Elsevier, vol. 183(C), pages 62-69.
    4. 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.
    5. Croft, Charlotte & Currie, Graeme & Staniszewska, Sophie, 2016. "Moving from rational to normative ideologies of control over public involvement: A case of continued managerial dominance," Social Science & Medicine, Elsevier, vol. 162(C), pages 124-132.
    6. Glimmerveen, Ludo & Ybema, Sierk & Nies, Henk, 2018. "Empowering citizens or mining resources? The contested domain of citizen engagement in professional care services," Social Science & Medicine, Elsevier, vol. 203(C), pages 1-8.
    7. Lehoux, P. & Daudelin, G. & Abelson, J., 2012. "The unbearable lightness of citizens within public deliberation processes," Social Science & Medicine, Elsevier, vol. 74(12), pages 1843-1850.
    8. Milewa, Timothy, 2006. "Health technology adoption and the politics of governance in the UK," Social Science & Medicine, Elsevier, vol. 63(12), pages 3102-3112, December.
    9. Evelien Tonkens & Imrat Verhoeven, 2019. "The civic support paradox: Fighting unequal participation in deprived neighbourhoods," Urban Studies, Urban Studies Journal Limited, vol. 56(8), pages 1595-1610, June.
    10. Marit By Rise & Aslak Steinsbekk, 2016. "Long Term Effect on Professionals’ Knowledge, Practice and Attitudes towards User Involvement Four Years after Implementing an Organisational Development Plan: A Controlled Study," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-18, March.
    11. El Enany, Nellie & Currie, Graeme & Lockett, Andy, 2013. "A paradox in healthcare service development: Professionalization of service users," Social Science & Medicine, Elsevier, vol. 80(C), pages 24-30.
    12. Abelson, Julia & Forest, Pierre-Gerlier & Eyles, John & Casebeer, Ann & Martin, Elisabeth & Mackean, Gail, 2007. "Examining the role of context in the implementation of a deliberative public participation experiment: Results from a Canadian comparative study," Social Science & Medicine, Elsevier, vol. 64(10), pages 2115-2128, May.
    13. Yongjin Choi & Ashley M. Fox & Jennifer Dodge, 2022. "What counts? Policy evidence in public hearing testimonies: the case of single-payer healthcare in New York State," Policy Sciences, Springer;Society of Policy Sciences, vol. 55(4), pages 631-660, December.
    14. Abelson, Julia & Giacomini, Mita & Lehoux, Pascale & Gauvin, Francois-Pierre, 2007. "Bringing `the public' into health technology assessment and coverage policy decisions: From principles to practice," Health Policy, Elsevier, vol. 82(1), pages 37-50, June.
    15. Mauro Serapioni & Pedro Lopes Ferreira & Patrícia Antunes, 2014. "Participação em Saúde: Conceitos e Conteúdos," Notas Económicas, Faculty of Economics, University of Coimbra, issue 40, pages 26-42, December.
    16. Quantz, Darryl & Thurston, Wilfreda E., 2006. "Representation strategies in public participation in health policy: The Aboriginal Community Health Council," Health Policy, Elsevier, vol. 75(3), pages 243-250, February.
    17. Greer, Scott L. & Stewart, Ellen A. & Wilson, Iain & Donnelly, Peter D., 2014. "Victory for volunteerism? Scottish health board elections and participation in the welfare state," Social Science & Medicine, Elsevier, vol. 106(C), pages 221-228.
    18. Brad Wright, 2015. "Voices of the Vulnerable: Community health centres and the promise and peril of consumer governance," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 57-71, January.

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