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Examining the role of context in the implementation of a deliberative public participation experiment: Results from a Canadian comparative study

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  • Abelson, Julia
  • Forest, Pierre-Gerlier
  • Eyles, John
  • Casebeer, Ann
  • Martin, Elisabeth
  • Mackean, Gail

Abstract

To resolve tensions among competing sources of evidence and public expectations, health-care managers and policy makers are turning more than ever to involve the public in a wide range of decisions. Yet efforts to use research evidence to inform public involvement decisions are hampered by an absence of rigorous public participation evaluation research. In particular, greater rigour in exploring the roles played by different contextual variables--such as characteristics of the issue of interest, the culture of the sponsoring organization and attributes of the decision being made--is needed. Using a comparative quasi-experimental design, we assessed the performance of a generic public participation method implemented in 5 Canadian regionalized health settings between 2001 and 2004. Participant and decision-maker perspectives were assessed and, through direct observation, the roles exerted by contextual variables over the public involvement processes were documented and analysed. Our findings demonstrate that a generic public participation method can be implemented in a variety of contexts and with considerable success. Context exerts fostering and inhibiting influences that contribute to more (or less) successful implementation. Public participation practitioners are encouraged to pay careful attention to the types of issues and decisions for which they are seeking public input. Sufficient organizational resources and commitment to the goals of the public participation process are also required. Attention to these contextual attributes and their influence on the design and outcomes of public participation processes is as important as choosing the "right" public participation mechanism.

Suggested Citation

  • 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.
  • Handle: RePEc:eee:socmed:v:64:y:2007:i:10:p:2115-2128
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    References listed on IDEAS

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    1. Hurley, Jeremiah & Birch, Stephen & Eyles, John, 1995. "Geographically-decentralized planning and management in health care: Some informational issues and their implications for efficiency," Social Science & Medicine, Elsevier, vol. 41(1), pages 3-11, July.
    2. Abelson, Julia & Eyles, John & McLeod, Christopher B. & Collins, Patricia & McMullan, Colin & Forest, Pierre-Gerlier, 2003. "Does deliberation make a difference? Results from a citizens panel study of health goals priority setting," Health Policy, Elsevier, vol. 66(1), pages 95-106, October.
    3. Judith Petts, 2001. "Evaluating the Effectiveness of Deliberative Processes: Waste Management Case-studies," Journal of Environmental Planning and Management, Taylor & Francis Journals, vol. 44(2), pages 207-226.
    4. O'Donnell, Maire & Entwistle, Vikki, 2004. "Consumer involvement in decisions about what health-related research is funded," Health Policy, Elsevier, vol. 70(3), pages 281-290, December.
    5. Pivik, Jayne & Rode, Elisabeth & Ward, Christopher, 2004. "A consumer involvement model for health technology assessment in Canada," Health Policy, Elsevier, vol. 69(2), pages 253-268, August.
    6. Dobrow, Mark J. & Goel, Vivek & Lemieux-Charles, Louise & Black, Nick A., 2006. "The impact of context on evidence utilization: A framework for expert groups developing health policy recommendations," Social Science & Medicine, Elsevier, vol. 63(7), pages 1811-1824, October.
    7. Abelson, Julia, 2001. "Understanding the role of contextual influences on local health-care decision making: case study results from Ontario, Canada," Social Science & Medicine, Elsevier, vol. 53(6), pages 777-793, September.
    8. Wiseman, V. & Mooney, G. & Berry, G. & Tang, K. C., 2003. "Involving the general public in priority setting: experiences from Australia," Social Science & Medicine, Elsevier, vol. 56(5), pages 1001-1012, March.
    9. Abelson, Julia & Forest, Pierre-Gerlier & Eyles, John & Smith, Patricia & Martin, Elisabeth & Gauvin, Francois-Pierre, 2003. "Deliberations about deliberative methods: issues in the design and evaluation of public participation processes," Social Science & Medicine, Elsevier, vol. 57(2), pages 239-251, July.
    10. Dobrow, Mark J. & Goel, Vivek & Upshur, R. E. G., 2004. "Evidence-based health policy: context and utilisation," Social Science & Medicine, Elsevier, vol. 58(1), pages 207-217, January.
    11. Contandriopoulos, Damien, 2004. "A sociological perspective on public participation in health care," Social Science & Medicine, Elsevier, vol. 58(2), pages 321-330, January.
    12. Mitton, Craig & Donaldson, Cam, 2002. "Setting priorities in Canadian regional health authorities: a survey of key decision makers," Health Policy, Elsevier, vol. 60(1), pages 39-58, April.
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    1. Julia Keenan & Fiona Poland & Jonathan Boote & Amanda Howe & Helena Wythe & Anna Varley & Penny Vicary & Lisa Irvine & Amander Wellings, 2019. "‘We’re passengers sailing in the same ship, but we have our own berths to sleep in’: Evaluating patient and public involvement within a regional research programme: An action research project informed," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-28, May.
    2. Elberse, Janneke Elisabeth & Pittens, Carina Anna Cornelia Maria & de Cock Buning, Tjard & Broerse, Jacqueline Elisabeth Willy, 2012. "Patient involvement in a scientific advisory process: Setting the research agenda for medical products," Health Policy, Elsevier, vol. 107(2), pages 231-242.
    3. Carman, Kristin L. & Mallery, Coretta & Maurer, Maureen & Wang, Grace & Garfinkel, Steve & Yang, Manshu & Gilmore, Dierdre & Windham, Amy & Ginsburg, Marjorie & Sofaer, Shoshanna & Gold, Marthe & Path, 2015. "Effectiveness of public deliberation methods for gathering input on issues in healthcare: Results from a randomized trial," Social Science & Medicine, Elsevier, vol. 133(C), pages 11-20.
    4. Jonas Lander & Tobias Hainz & Irene Hirschberg & Daniel Strech, 2014. "Current Practice of Public Involvement Activities in Biomedical Research and Innovation: A Systematic Qualitative Review," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-17, December.
    5. Deng, Chung-Yeh & Wu, Chia-Ling, 2010. "An innovative participatory method for newly democratic societies: The "civic groups forum" on national health insurance reform in Taiwan," Social Science & Medicine, Elsevier, vol. 70(6), pages 896-903, March.
    6. Kieran C. O’Doherty & Michael K. MacKenzie & Dan Badulescu & Michael M. Burgess, 2013. "Explosives, Genomics, and the Environment," SAGE Open, , vol. 3(1), pages 21582440134, March.
    7. Baumann, Lisa Ann & Reinhold, Anna Katharina & Brütt, Anna Levke, 2022. "Public and patient involvement in health policy decision-making on the health system level – A scoping review," Health Policy, Elsevier, vol. 126(10), pages 1023-1038.
    8. Tania Burchardt, 2012. "Deliberative research as a tool to make value judgements," CASE Papers case159, Centre for Analysis of Social Exclusion, LSE.
    9. Burchardt, Tania, 2012. "Deliberative research as a tool to make value judgements," LSE Research Online Documents on Economics 43904, London School of Economics and Political Science, LSE Library.
    10. Anita Gębska-Kuczerowska & Sudakshina Lahiri & Robert Gajda, 2020. "Bridging the Gap between Theory, Practice, and Policy: A Decision-Making Process Based on Public Health Evidence Feasible in Multi-Stage Research on Biological Risk Factors in Poland," IJERPH, MDPI, vol. 17(20), pages 1-11, October.
    11. Byers Vivienne & Fahey Daragh & Mullins Carol & Roe Carol, 2017. "The Patient Survey Programme: Transforming the patient experience in Irish healthcare," Administration, Sciendo, vol. 65(4), pages 83-99, December.
    12. 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.
    13. repec:cep:sticas:/159 is not listed on IDEAS
    14. Valerie Rountree & Elizabeth Baldwin & Jeffrey Hanlon, 2022. "A review of stakeholder participation studies in renewable electricity and water: does the resource context matter?," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 12(2), pages 232-247, June.

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