‘Taking off the suit’
Engaging the community in primary health care decision‐making
Bibliographic Data
| ID | 19509115 |
|---|---|
| Authors | Elizabeth Anderson (0000-0003-4535-9685, At Bristol), Melanie Shepherd (0000-0002-1791-8016), Michael Shepherd, Chris Salisbury (0000-0002-4378-3960, University of Bristol) |
| Year | 2006 |
| Volume | 9 |
| Issue | 1 |
| Pages | 70-80 |
| Publication date | 2006-03-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1369-7625.2006.00364.x |
| PMID | 16436163 |
| OpenAlex | W2150874461 |
| Language | EN |
| Citations received | 12 |
| References cited | 29 |
Objective To explore the process of public involvement in planning primary health care. Background Recent policy in the UK promotes public involvement in planning health but there have been difficulties in engaging communities in the process. Surveys of health service organizations have found that there has been a failure to adapt to new approaches. It has become important to understand why this has occurred if policy initiatives to encourage involvement are to succeed. Design Qualitative study. Data collected through individual interviews and focus groups. Setting Two new primary healthcare developments in deprived areas in Bristol and Weston‐Super‐Mare. Participants Thirty‐six professionals and 23 local residents in Bristol; six professionals and three local residents in Weston‐Super‐Mare. Results Three themes were identified: process, partnership and power. The main findings were that exceptional people with a shared commitment to public involvement were necessary to motivate others and develop partnerships. Local people were drawn into the process and with increased confidence became powerful advocates for their community. Creative and varied methods to involve the public were important in achieving balance between professionals and lay people. However, conflicts over practical decisions arose from a lack of clarity over who had power to influence decisions. Conclusion Most of the participants were enthusiastic about their experience of public involvement in planning primary health care. Features crucial to sustainable involvement included a commitment from leaders within statutory agencies, support over a long period to build the confidence of local people, willingness to use informal approaches that are in tune with local culture, and a recognition of the concerns of both service users and providers
Business · CLARITY · Focus group · General partnership · Health care · Local community · Political science · Public health · Public involvement · Public relations · Qualitative research · Sociology · Statutory law · Community Health and Development · Health, psychology, and well-being · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Marketing
Why play an active role? A qualitative examination of lay citizens' main motives for participation in health promotion
From temple to table
Children’s participation in practice
Implementing community participation via interdisciplinary teams in primary care
Patient and public involvement facilitators
From awareness to involvement? A qualitative study of respiratory patients’ awareness of health service change
What is the evidence base for public involvement in health‐care policy
The UCLan community engagement and service user support (Comensus) project
Consumer participation at Specialist Homelessness Services
The experience of community engagement for individuals
Community participation in general health initiatives in high and upper-middle income countries
Consumer participation in homelessness service delivery in Australia
Lay Participation in Health Care Decision Making
Powerlessness, Empowerment, and Health
Systematic review of involving patients in the planning and development of health care
Frameworks of Power
A ‘Third Way’ for lay involvement
The quality and use of knowledge in health policy-making
Analysing Structural Interests in Primary Care Groups
Public Participation in the New NHS
Which Champions, Which People? Public and User Involvement in Health Care as a Technology of Legitimation
Partnerships, Power and the “New” Politics of Community Participation in British Health Care
Consultation, for a Change? Engaging Users and Communities in the Policy Process
Health Action Zones
Progrssive Regrimes, Partnerships and the Involvement of Local Communities
Cooperative forms of governance
Understanding the role of contextual influences on local health-care decision making
A sociological perspective on public participation in health care
The public is too subjective
Central Problems in Social Theory
| Citations per year | 0.63 |
|---|---|
| Citation span | 2007 - 2024 (18) |
| Highly cited | No |