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Introduction: priority setting, equitable access and public involvement in health care
Albert Weale1, Katharina Kieslich2, Peter Littlejohns2
1Department of Political Science, University College London, London, UK.
Journal of Health Organization and Management
|July 30, 2016
Summary
This paper explores public and patient involvement (PPI) in healthcare prioritization. It redefines collective public participation, including protests, as "contestatory participation" to reflect its growing conventionality.
Area of Science:
- Health Services Research
- Public Policy
- Political Science
Background:
- This special issue examines improving equitable healthcare access via enhanced public and patient involvement (PPI) in prioritization decisions.
- It explores the conceptualization, scope, and rationales underpinning PPI in health priority setting.
Discussion:
- The focus is on collective public participation, influencing social decisions and public policy rather than personal choices.
- Rationales for public participation are rooted in democratic theory, emphasizing legitimacy and representation.
Key Insights:
- Public participation in health prioritization is collective, impacting groups and policy.
- Democratic values of legitimacy and representation are key rationales for PPI.
- The paper proposes 'contestatory participation' for activities like protests, acknowledging their conventionality.
Outlook:
- Redefining public participation, particularly 'contestatory participation,' offers a more accurate framework for understanding its role in health policy.
- This work contributes to a nuanced understanding of PPI in health priority setting.
- Future research can explore the implications of contestatory participation for equitable healthcare access.
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