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Who Speaks, and in What Voice? The Challenge of Engaging 'The Public' in Health Policy Decision-Making

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  • John Boswell
  • Catherine Settle
  • Anni Dugdale

Abstract

Despite widespread calls for greater public involvement in governance, especially in relation to health policy, significant challenges remain in identifying any such legitimate 'public' voice. This research investigates this problem through a case study. It examines how actors experienced and interpreted a government-commissioned citizen's jury on health spending prioritization in relation to the work of the local health care consumers' organization. The analysis highlights an unproductive tension around this encounter, and points to more complementary ways in which such top-down and bottom-up efforts might be coordinated. It, therefore, contributes significantly to efforts to strengthen the public voice in contemporary health governance.

Suggested Citation

  • 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.
    • Handle: RePEc:taf:pubmgr:v:17:y:2015:i:9:p:1358-1374
    DOI: 10.1080/14719037.2014.943269
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    Cited by:

    1. Tahereh Maghsoudi & Rosalía Cascón-Pereira & Ana Beatriz Hernández Lara, 2020. "The Role of Collaborative Healthcare in Improving Social Sustainability: A Conceptual Framework," Sustainability, MDPI, vol. 12(8), pages 1-15, April.
    2. 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.
    3. 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.
    4. Aschhoff, Nils, 2019. "The Struggle Withinː Public Managers' Identity Struggles in Citizen Collaboration and Their Response Strategies," WiSo-HH Working Paper Series 50, University of Hamburg, Faculty of Business, Economics and Social Sciences, WISO Research Laboratory.

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