The challenge of citizens' participation in health systems in Southern Europe: a literature review

Detalhes bibliográficos
Autor(a) principal: Ana Raquel Matos
Data de Publicação: 2017
Outros Autores: Mauro Serapioni
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494
Resumo: The current article analyzes existing mechanisms for public participation in health systems in the countries of Southern Europe. Results are presented from a literature review focusing on public participation in health systems, highlighting the potentialities and challenges emerging from the principal national experiences in the respective countries: Spain, Greece, Italy, and Portugal. The article begins by characterizing the health systems, then presents the methodology followed by the results of the analysis in each country, emphasizing the different forms of participation, both institutionalized and non-institutionalized. The study's principal conclusion is that a legislative discourse has prevailed, which in most cases has not materialized in actual participatory practices; meanwhile, non-institutionalized forms of participation have emerged with a special leading role in the health area, featuring protests, largely spurred by the current economic crisis.
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spelling The challenge of citizens' participation in health systems in Southern Europe: a literature reviewO desafio da participação cidadã nos sistemas de saúde do Sul da Europa: uma revisão da literaturaHealth SystemsPublic Health PolicyCitizen ParticipationSistemas de SaúdePolíticas Públicas de SaúdeParticipação CidadãThe current article analyzes existing mechanisms for public participation in health systems in the countries of Southern Europe. Results are presented from a literature review focusing on public participation in health systems, highlighting the potentialities and challenges emerging from the principal national experiences in the respective countries: Spain, Greece, Italy, and Portugal. The article begins by characterizing the health systems, then presents the methodology followed by the results of the analysis in each country, emphasizing the different forms of participation, both institutionalized and non-institutionalized. The study's principal conclusion is that a legislative discourse has prevailed, which in most cases has not materialized in actual participatory practices; meanwhile, non-institutionalized forms of participation have emerged with a special leading role in the health area, featuring protests, largely spurred by the current economic crisis.El presente artículo versa sobre el análisis de mecanismos de participación pública existentes en los sistemas de salud de países del sur de Europa. Se presentan los resultados de una revisión de la literatura, incidiendo en la cuestión de la participación pública en los sistemas de salud, realzando las potencialidades y los desafíos que emergen de las principales experiencias nacionales identificadas en los países considerados: España, Grecia, Italia y Portugal. El artículo comienza por caracterizar los sistemas de salud, presenta la metodología utilizada y, posteriormente, los resultados del análisis en cada país, resaltando las diferentes formas de participación, institucionalizadas y no institucionalizadas. Como principal resultado de la investigación, se concluye que ha prevalecido un discurso legislativo que, en la mayor parte de los casos, no corresponde a prácticas de participación efectivas, sin embargo, por otro lado, ha emergido, con especial protagonismo en el área de la salud, formas de participación no institucionalizada, en las que se destacan acciones de protesta, en gran parte, impulsadas por la actual crisis económica.O presente artigo versa sobre a análise de mecanismos de participação pública existentes nos sistemas de saúde dos países do Sul da Europa. Apresentam-se os resultados de uma revisão da literatura incidindo na questão da participação pública nos sistemas de saúde, realçando as potencialidades e os desafios que emergem das principais experiências nacionais identificadas, nos países considerados: Espanha, Grécia, Itália e Portugal. O artigo começa por caracterizar os sistemas de saúde, apresenta a metodologia utilizada e, posteriormente, os resultados da análise em cada país, com destaque para as diferentes formas de participação, institucionalizadas e não institucionalizadas. Como principal resultado da investigação, conclui-se que tem prevalecido um discurso legislativo que, na generalidade dos casos, não corresponde a práticas de participação efetivas, mas, por outro lado, têm emergido, com especial protagonismo na área da saúde, formas de participação não institucionalizada, nas quais se destacam ações de protesto, em grande parte, impulsionadas pela atual crise econômica.Reports in Public HealthCadernos de Saúde Pública2017-01-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494Reports in Public Health; Vol. 33 No. 1 (2017): JanuaryCadernos de Saúde Pública; v. 33 n. 1 (2017): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13902https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13903https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13904https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13905Ana Raquel MatosMauro Serapioniinfo:eu-repo/semantics/openAccess2024-03-06T15:29:20Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6494Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:26.666273Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv The challenge of citizens' participation in health systems in Southern Europe: a literature review
O desafio da participação cidadã nos sistemas de saúde do Sul da Europa: uma revisão da literatura
title The challenge of citizens' participation in health systems in Southern Europe: a literature review
spellingShingle The challenge of citizens' participation in health systems in Southern Europe: a literature review
Ana Raquel Matos
Health Systems
Public Health Policy
Citizen Participation
Sistemas de Saúde
Políticas Públicas de Saúde
Participação Cidadã
title_short The challenge of citizens' participation in health systems in Southern Europe: a literature review
title_full The challenge of citizens' participation in health systems in Southern Europe: a literature review
title_fullStr The challenge of citizens' participation in health systems in Southern Europe: a literature review
title_full_unstemmed The challenge of citizens' participation in health systems in Southern Europe: a literature review
title_sort The challenge of citizens' participation in health systems in Southern Europe: a literature review
author Ana Raquel Matos
author_facet Ana Raquel Matos
Mauro Serapioni
author_role author
author2 Mauro Serapioni
author2_role author
dc.contributor.author.fl_str_mv Ana Raquel Matos
Mauro Serapioni
dc.subject.por.fl_str_mv Health Systems
Public Health Policy
Citizen Participation
Sistemas de Saúde
Políticas Públicas de Saúde
Participação Cidadã
topic Health Systems
Public Health Policy
Citizen Participation
Sistemas de Saúde
Políticas Públicas de Saúde
Participação Cidadã
description The current article analyzes existing mechanisms for public participation in health systems in the countries of Southern Europe. Results are presented from a literature review focusing on public participation in health systems, highlighting the potentialities and challenges emerging from the principal national experiences in the respective countries: Spain, Greece, Italy, and Portugal. The article begins by characterizing the health systems, then presents the methodology followed by the results of the analysis in each country, emphasizing the different forms of participation, both institutionalized and non-institutionalized. The study's principal conclusion is that a legislative discourse has prevailed, which in most cases has not materialized in actual participatory practices; meanwhile, non-institutionalized forms of participation have emerged with a special leading role in the health area, featuring protests, largely spurred by the current economic crisis.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-23
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13902
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13903
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13904
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6494/13905
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
text/html
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 33 No. 1 (2017): January
Cadernos de Saúde Pública; v. 33 n. 1 (2017): Janeiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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