Engagement In Health Policy Research Articles

Humanbecoming

Nurses have been identified as key players in moving quality of care forward. Nursing knowledge guides nurses as they provide that care. The author in this column explores Parse's theory of humanbecoming and nursing's engagement in health policy. Current focus on the person as primary decision maker in healthcare is congruent with the theory's key concept of quality of life as defined by the person or community. The author provides several examples of how humanbecoming has been used to guide policy activities and decisions and offers suggestions for the future.

Legislative: Nursing’s Engagement in Health Policy and Healthcare Through Social Media

Legislative: Nursing’s Engagement in Health Policy and Healthcare Through Social Media

Health System Regionalization in Canada's Provincial and Territorial Health Systems: Do Citizen Governance Boards Represent, Engage, and Empower?

Regionalization of the health care system, through the creation of sub-provincial service-delivery regions and governance authorities (i.e., regional health authorities, RHAs), has been a key part of Canadian health reform initiatives of the past two decades. Increased public participation in health care planning and service delivery is one of the explicit goals of regionalization. Based on a reanalysis of data from a 2001 survey of health system governors from 134 RHAs throughout Canada, this study explores the overall demographic composition of the citizen governance boards, as well as their responses to various opinion and attitude questions. To enable consideration of the extent to which these sites may support public deliberation and community development, overall responses are examined, as are responses within two subtypes of governors: system-experienced citizen governors and lay citizen governors--governors with or without previous health-system employment experience, respectively. The findings suggest that attention needs to be paid to these citizen governance boards if they are truly meant to be sites of citizen engagement in health policy and governance.

Public engagement in health policy: International lessons

AbstractAn inter-ministerial workshop on public engagement in health policy choices held by the World Health Organization Regional Office for Europe in 2005 provided an opportunity to share international lessons. The workshop examined cases from a number of European countries including six cases presented at the meeting. It was generally agreed that greater public engagement is essential due to the increasingly difficult ethical choices that must be made in health policy at the national, local or individual level; it was also recognised that the public is co-producer of health. However, it was also apparent that there are, as yet, few clear models as to how to succeed in engaging the public in difficult decisions. Key lessons shared include the need to: establish as prerequisites for engagement clear patient rights and structures for ongoing engagement; provide timely information and education relevant to decisions; and match the method of engagement to the nature of the issue under discussion, drawing on...

Public engagement in health policy: International lessons

An inter-ministerial workshop on public engagement in health policy choices held by the World Health Organization Regional Office for Europe in 2005 provided an opportunity to share international lessons. The workshop examined cases from a number of European countries including six cases presented at the meeting. It was generally agreed that greater public engagement is essential due to the increasingly difficult ethical choices that must be made in health policy at the national, local or individual level; it was also recognised that the public is co-producer of health. However, it was also apparent that there are, as yet, few clear models as to how to succeed in engaging the public in difficult decisions. Key lessons shared include the need to: establish as prerequisites for engagement clear patient rights and structures for ongoing engagement; provide timely information and education relevant to decisions; and match the method of engagement to the nature of the issue under discussion, drawing on a range of methods for choice, voice and representation. It was also apparent that voice, choice and representation could all result in greater disadvantage for hard-to-reach minority groups. The conclusion was that public engagement requires long-term culture change not 'quick-fix' solutions.