Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study

Detalhes bibliográficos
Autor(a) principal: Cervia,Silvia
Data de Publicação: 2018
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008
Resumo: Participatory practices, within broader processes of rescaling and governance, have been identified as the solution to the “democratic deficit” in healthcare. Conversely, scholars have underscored how these practices could well be used for a contrary purpose, particularly in a top-down process. The first part of this paper outlines a theory-based evaluation framework oriented towards the analysis of institutional practices fostering citizens’ involvement in healthcare decision-making processes and how this involvement can act as a driver for the democratisation of the healthcare system. Following this interpretation, the second part of the paper analyses the new local governance structure adopted by Tuscany (Italy) in the healthcare sector, in particular the later stages of its adoption and diffusion and more than ten years after its institutionalisation. This leads us to identify certain crucial issues to be addressed when institutions promote re-visiting decision-making processes.
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spelling Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Studycitizen participationdemocratizationgovernancehealthcarehealth policiesItalyParticipatory practices, within broader processes of rescaling and governance, have been identified as the solution to the “democratic deficit” in healthcare. Conversely, scholars have underscored how these practices could well be used for a contrary purpose, particularly in a top-down process. The first part of this paper outlines a theory-based evaluation framework oriented towards the analysis of institutional practices fostering citizens’ involvement in healthcare decision-making processes and how this involvement can act as a driver for the democratisation of the healthcare system. Following this interpretation, the second part of the paper analyses the new local governance structure adopted by Tuscany (Italy) in the healthcare sector, in particular the later stages of its adoption and diffusion and more than ten years after its institutionalisation. This leads us to identify certain crucial issues to be addressed when institutions promote re-visiting decision-making processes.Centro de Estudos Sociais2018-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008Revista Crítica de Ciências Sociais n.117 2018reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008Cervia,Silviainfo:eu-repo/semantics/openAccess2024-02-06T17:28:38Zoai:scielo:S2182-74352018000400008Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:32:51.537847Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
title Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
spellingShingle Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
Cervia,Silvia
citizen participation
democratization
governance
healthcare
health policies
Italy
title_short Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
title_full Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
title_fullStr Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
title_full_unstemmed Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
title_sort Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
author Cervia,Silvia
author_facet Cervia,Silvia
author_role author
dc.contributor.author.fl_str_mv Cervia,Silvia
dc.subject.por.fl_str_mv citizen participation
democratization
governance
healthcare
health policies
Italy
topic citizen participation
democratization
governance
healthcare
health policies
Italy
description Participatory practices, within broader processes of rescaling and governance, have been identified as the solution to the “democratic deficit” in healthcare. Conversely, scholars have underscored how these practices could well be used for a contrary purpose, particularly in a top-down process. The first part of this paper outlines a theory-based evaluation framework oriented towards the analysis of institutional practices fostering citizens’ involvement in healthcare decision-making processes and how this involvement can act as a driver for the democratisation of the healthcare system. Following this interpretation, the second part of the paper analyses the new local governance structure adopted by Tuscany (Italy) in the healthcare sector, in particular the later stages of its adoption and diffusion and more than ten years after its institutionalisation. This leads us to identify certain crucial issues to be addressed when institutions promote re-visiting decision-making processes.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-01
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dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Centro de Estudos Sociais
publisher.none.fl_str_mv Centro de Estudos Sociais
dc.source.none.fl_str_mv Revista Crítica de Ciências Sociais n.117 2018
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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