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‘Consultation’ or co-option? A case study from the Chilean health sector

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  • Jasmine Gideon

    (Birkbeck College, University of London, London WC1B 5DQ, UK)

Abstract

Using a macro-meso-micro framework this paper examines the shifts in the hegemonic development model and the implementation of new participatory mechanisms. It argues that despite macro-level policy shifts, in the Chilean context, the implementation of these mechanisms at the meso- and micro-levels has limited opportunities for citizen input into policy-making processes. The analysis focuses on citizen engagement with the machinery of participation and argues that the co-option of NGOs and civil society groups by the state has meant that there has been little real challenge to the implementation from civil society and policy-making remains a top-down process.

Suggested Citation

  • Jasmine Gideon, 2005. "‘Consultation’ or co-option? A case study from the Chilean health sector," Progress in Development Studies, , vol. 5(3), pages 169-181, July.
    • Handle: RePEc:sae:prodev:v:5:y:2005:i:3:p:169-181
    DOI: 10.1191/1464993405ps115oa
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    References listed on IDEAS

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    1. Lethbridge, Jane., 2002. "Social dialogue in health services : case studies in Brazil, Canada, Chile, United Kingdom," ILO Working Papers 993721723402676, International Labour Organization.
    2. Ben Fine, 1999. "The Developmental State Is Dead—Long Live Social Capital?," Development and Change, International Institute of Social Studies, vol. 30(1), pages 1-19, January.
    3. Maxine Molyneux, 2002. "Gender and the Silences of Social Capital: Lessons from Latin America," Development and Change, International Institute of Social Studies, vol. 33(2), pages 167-188, April.
    4. Gore, Charles, 2000. "The Rise and Fall of the Washington Consensus as a Paradigm for Developing Countries," World Development, Elsevier, vol. 28(5), pages 789-804, May.
    5. repec:ilo:ilowps:372172 is not listed on IDEAS
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    Cited by:

    1. Maupin, Jonathan Nathaniel, 2009. "'Fruit of the accords': Healthcare reform and civil participation in Highland Guatemala," Social Science & Medicine, Elsevier, vol. 68(8), pages 1456-1463, April.

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