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Anales del Sistema Sanitario de Navarra
versión impresa ISSN 1137-6627
Resumen
MIRA, J.J. et al. Public participation in health. A review of reviews. Anales Sis San Navarra [online]. 2018, vol.41, n.1, pp.91-106. ISSN 1137-6627. https://dx.doi.org/10.23938/assn.0172.
Background
This study aims to synthesize knowledge about the role of the public’s participation in the definition, prioritization, rationalization, monitoring or control of policies, plans, governance, investment/disinvestment, and design of health services.
Methods
Review of review articles (narrative or systematic) about consumer participation indexed in PubMed until August 2016.
Results
Forty-two reviews were identified (eighteen systematic and twenty-four narrative). The extent of participation was provincial/regional or national. The issues addressed covered: What is public participation? What benefits are expected? Who participates in the representation of citizens? How and to what extent do citizens participate and with what outcomes? The impact of public participation has hardly been studied.
Conclusions
There is moderate evidence in support of the argument that public participation legitimizes decisions of the Health Authorities, and improves outcomes of health policies. There is consensus on how participation techniques should be applied but there is a need to inquire more deeply into the level of impact of this participation.
Palabras clave : Public participation; Patient participation; Consumer participation; Health policy; Literature review.