Examining the role of context in the implementation of a deliberative public participation experiment: Results from a Canadian comparative study
Examining the role of context in the implementation of a deliberative public participation experiment: Results from a Canadian comparative study
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DOI：
10.1016/j.socscimed.2007.01.013
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发表时间：
2007-05-01
影响因子：
5.4
通讯作者：
Mackean, Gail
中科院分区：
文献类型：
--
作者：
Abelson, Julia;Forest, Pierre-Gerlier;Mackean, Gail
为了解决相互竞争的证据来源和公众期望之间的矛盾，医疗保健经理和政策制定者正比以往任何时候都更多地让公众参与广泛的决策。然而，由于缺乏严格的公众参与评估研究，利用研究证据为公众参与决策提供信息的努力受到阻碍。特别是，需要更加严格地探讨不同背景变量所发挥的作用--例如有关问题的特点、发起组织的文化和正在作出的决定的属性。使用比较准实验设计，我们评估了2001年至2004年在加拿大5个区域化卫生环境中实施的通用公众参与方法的性能。评估了参与者和决策者的观点，并通过直接观察，记录和分析了背景变量对公众参与过程所起的作用。我们的研究结果表明，一种通用的公众参与方法可以在各种情况下实施，并取得相当大的成功。背景施加了促进和抑制的影响，这些影响有助于或多或少地成功实施。鼓励公众参与实践者仔细注意他们正在寻求公众意见的问题和决定的类型。还需要有足够的组织资源和对公众参与进程目标的承诺。注意这些背景属性及其对公众参与进程的设计和结果的影响，与选择“正确的”公众参与机制同样重要。(C)2007爱思唯尔有限公司。保留所有权利。
To resolve tensions among competing sources of evidence and public expectations, health-care managers and policy makers are turning more than ever to involve the public in a wide range of decisions. Yet efforts to use research evidence to inform public involvement decisions are hampered by an absence of rigorous public participation evaluation research. In particular, greater rigour in exploring the roles played by different contextual variables-such as characteristics of the issue of interest, the culture of the sponsoring organization and attributes of the decision being made-is needed. Using a comparative quasi-experimental design, we assessed the performance of a generic public participation method implemented in 5 Canadian regionalized health settings between 2001 and 2004. Participant and decision-maker perspectives were assessed and, through direct observation, the roles exerted by contextual variables over the public involvement processes were documented and analysed. Our findings demonstrate that a generic public participation method can be implemented in a variety of contexts and with considerable success. Context exerts fostering and inhibiting influences that contribute to more (or less) successful implementation. Public participation practitioners are encouraged to pay careful attention to the types of issues and decisions for which they are seeking public input. Sufficient organizational resources and commitment to the goals of the public participation process are also required. Attention to these contextual attributes and their influence on the design and outcomes of public participation processes is as important as choosing the "right" public participation mechanism. (c) 2007 Elsevier Ltd. All rights reserved.