Citizen Engagement and the Challenge of Democratizing Health: An Italian Case Study
Autor(a) principal: | |
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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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-74352018000400008 |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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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1799137389488111616 |