公众参与瑞典卫生系统:公民对话结果不清楚
Mio Fredriksson1, Anton Modigh2
1Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Postal address: Box 564, Uppsala, 751 22, Sweden. mio.fredriksson@pubcare.uu.se.
BMC health services research
|September 4, 2023
概括
瑞典医疗保健中的公民对话 (CD) 提供了公众的意见,但缺乏对政策的明确影响. 需要进一步的研究,以了解这些输入如何影响决策和其与其他信息来源相比的权重.
科学领域:
- 公共卫生政策 公共卫生政策
- 卫生系统研究 卫生系统研究
- 公民参与医疗保健
背景情况:
- 在代表性民主国家,公民参与超出投票范围的共识越来越大.
- 关于公众参与医疗保健决策的确切作用的不确定性.
- 关注政治治理的,分散的卫生系统中的公民对话 (CDs).
研究的目的:
- 评估瑞典卫生系统中公民对话 (CDs) 的运作.
- 基于代表性,流程,内容和结果对CD的评估.
- 研究将公众投入纳入医疗保健政策制定中的问题.
主要方法:
- 定性案例研究设计,重点关注瑞典的区域级CD.
- 对有关CD的公开文件和采访进行分析.
- 修改后的应用Abelson等人. 评估公众参与的分析框架.
主要成果:
- CDs旨在增强代表性并缩小决策者与公民之间的距离.
- CD输入通常是一般的,表达而不是发展公众偏好,冒着碎的风险.
- 缺乏关于CD如何产生结果的清晰度,通常是在政策流程的早期,明智决策.
结论:
- 在瑞典医疗保健政策制定中利用公民对话的投入仍然不清楚.
- 来自CD的政策输入往往过于一般,其使用的文档不足.
- 需要进一步调查CD输入与其他信息来源以及患者参与方法的权重.
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