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Public involvement in health priority setting: future challenges for policy, research and society

Hunter, DJ; Kieslich, K; Littlejohns, P; Staniszewska, S; Tumilty, E; Weale, A; Williams, I; (2016) Public involvement in health priority setting: future challenges for policy, research and society. Journal of Health Organization and Management , 30 (5) pp. 796-808. 10.1108/JHOM-04-2016-0057. Green open access

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Abstract

Purpose: The article reflects 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 article 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 article 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 our understanding of public involvement in health prioritization.

Type: Article
Title: Public involvement in health priority setting: future challenges for policy, research and society
Open access status: An open access version is available from UCL Discovery
DOI: 10.1108/JHOM-04-2016-0057
Publisher version: https://doi.org/10.1108/JHOM-04-2016-0057
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Public participation, priority setting, legitimacy, authentic representation, equitable health coverage
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Political Science
URI: https://discovery.ucl.ac.uk/id/eprint/10064045
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