TY - JOUR
T1 - Public involvement in health priority setting
T2 - future challenges for policy, research and society
AU - Hunter, David James
AU - Kieslich, Katharina
AU - Littlejohns, Peter
AU - Staniszewska, Sophie
AU - Tumilty, Emma
AU - Weale, Albert
AU - Williams, Iestyn
N1 - Publisher Copyright:
© 2016, © Emerald Group Publishing Limited.
PY - 2016/8/15
Y1 - 2016/8/15
N2 - Purpose – The purpose of this paper is to reflect on the findings of this special issue and discusses the future challenges for policy, research and society. The findings suggest that challenges emerge as a result of legitimacy deficits of both consensus and contestatory modes of public involvement in health priority setting. Design/methodology/approach – The paper draws on the discussions and findings presented in this special issue. It seeks to bring the country experiences and case studies together to draw conclusions for policy, research and society. Findings – At least two recurring themes emerge. An underlying theme is the importance, but also the challenge, of establishing legitimacy in health priority setting. The country experiences suggest that we understand very little about the conditions under which representative, or authentic, participation generates legitimacy and under which it will be regarded as insufficient. A second observation is that public participation takes a variety of forms that depend on the opportunity structures in a given national context. Given this variety the conceptualization of public participation needs to be expanded to account for the many forms of public participation. Originality/value – The paper concludes that the challenges of public involvement are closely linked to the question of how legitimate processes and decisions can be generated in priority setting. This suggests that future research must focus more narrowly on conditions under which legitimacy are generated in order to expand the understanding of public involvement in health prioritization.
AB - Purpose – The purpose of this paper is to reflect on the findings of this special issue and discusses the future challenges for policy, research and society. The findings suggest that challenges emerge as a result of legitimacy deficits of both consensus and contestatory modes of public involvement in health priority setting. Design/methodology/approach – The paper draws on the discussions and findings presented in this special issue. It seeks to bring the country experiences and case studies together to draw conclusions for policy, research and society. Findings – At least two recurring themes emerge. An underlying theme is the importance, but also the challenge, of establishing legitimacy in health priority setting. The country experiences suggest that we understand very little about the conditions under which representative, or authentic, participation generates legitimacy and under which it will be regarded as insufficient. A second observation is that public participation takes a variety of forms that depend on the opportunity structures in a given national context. Given this variety the conceptualization of public participation needs to be expanded to account for the many forms of public participation. Originality/value – The paper concludes that the challenges of public involvement are closely linked to the question of how legitimate processes and decisions can be generated in priority setting. This suggests that future research must focus more narrowly on conditions under which legitimacy are generated in order to expand the understanding of public involvement in health prioritization.
KW - Authentic representation
KW - Equitable health coverage
KW - Legitimacy
KW - Priority setting
KW - Public participation
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U2 - 10.1108/JHOM-04-2016-0057
DO - 10.1108/JHOM-04-2016-0057
M3 - Review article
C2 - 27468775
AN - SCOPUS:84979934268
SN - 1477-7266
VL - 30
SP - 796
EP - 808
JO - Journal of Health Organization and Management
JF - Journal of Health Organization and Management
IS - 5
ER -