'Ordinary people only': knowledge, representativeness, and the publics of public participation in healthcare
'Ordinary people only': knowledge, representativeness, and the publics of public participation in healthcare
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DOI：
10.1111/j.1467-9566.2007.01027.x
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发表时间：
2008-01-01
影响因子：
2.9
通讯作者：
Martin, Graham P.
中科院分区：
文献类型：
--
作者：
Martin, Graham P.
公众参与医疗保健是经济发达国家的一项重要政策。越来越多的学术文献注重公众参与，往往提出好的做法和坏的做法之间的二分法：提供赋权的举措和受消费主义限制的举措之间的二分法，或者依赖于自我选择的公众成员进行招聘的举措和包括基础更广泛、具有统计代表性的群体的举措之间的二分法。在本文中，我讨论了明显的紧张局势之间的不同的理由参与，有关最近的讨论，在公众参与的代表性的性质，以平行的著作，外行的专业知识和经验的贡献。在学术文献中，有，我建议，参与民主的理由之间的细线，建议参与公众的代表作用，和技术官僚的想法有关的潜在的“专家”的贡献，特定的公众亚群。分析最近的政策文件参与医疗保健在英格兰，我还试图展示当代政策如何超越这两个类别，要求复杂的角色，涉及的公众调用各种素质被视为重要的管理国家与社会之间的接口。我把这与社会理论的观点对政府权力和公民之间的关系在近代社会。
Public involvement in healthcare is a prominent policy in countries across the economically developed world. A growing body of academic literature has focused on public participation, often presenting dichotomies between good and bad practice: between initiatives that offer empowerment and those constrained by consumerism, or between those which rely for recruitment on self-selecting members of the public, and those including a more broad-based, statistically representative group. In this paper I discuss the apparent tensions between differing rationales for participation, relating recent discussions about the nature of representation in public involvement to parallel writings about the contribution of laypeople's expertise and experience. In the academic literature, there is, I suggest, a thin line between democratic justifications for involvement, suggesting a representative role for involved publics, and technocratic ideas about the potential 'expert' contributions of particular subgroups of the public. Analysing recent policy documents on participation in healthcare in England, I seek moreover to show how contemporary policy transcends both categories, demanding complex roles of involved publics which invoke various qualities seen as important in governing the interface between state and society. I relate this to social-theoretical perspectives on the relationship between governmental authority and citizens in late-modern society.