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Tuberculosis Control: patient Perception Regarding Orientation for the Community and Community Participation; Controle da tuberculose: percepção dos doentes sobre orientação a comunidade e participação comunitária; Control de la tuberculosis: percepción de los enfermos sobre orientación a la comunidad y participación comunitaria

CURTO, Márcio; SCATENA, Lúcia Marina; ANDRADE, Rubia Laine de Paula; PALHA, Pedro Fredemir; ASSIS, Elisângela Gisele de; SCATOLIN, Beatriz Estuque; VILLA, Tereza Cristina Scatena
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.12%
To evaluate, from the patient’s perspective, actions of orientation for the community and community participation carried out in tuberculosis control in health services in Ribeirão Preto - SP. This was an evaluative quantitative exploratory study which used part of the Primary Care Assessment Tool, adapted and validated for tuberculosis care, applied through interview, with 100 patients. Indicators of the instrument and analysis of variance were used. The realization of social partnerships for delivery of the sputum pot together with the community, the delivery of the sputum pot to the community by professionals, and the participation of the community to discuss the problem of tuberculosis were identified, 5%, 6% and 5%, respectively. The health services with fewer patients in treatment showed the best indicators. The actions of social partnerships, searching for respiratory symptomatics in the community and community participation in tuberculosis control are poorly incorporated by health services.; O objetivo deste estudo foi avaliar, sob a percepção dos doentes, ações de orientação para a comunidade e participação comunitária, realizadas no controle da tuberculose em serviços de saúde de Ribeirão Preto, SP. É pesquisa avaliativa quantitativa exploratória que utilizou parte do Primary Care Assessment Tool...

Participação social: a comunicação que aproxima e distancia usuários e trabalhadores da Saúde da Família; Social participation: the distant and close communication between users and employees of the Family Health Strategy.

Longhi, Marcelen Palú
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 23/06/2009 PT
Relevância na Pesquisa
46.21%
Esta pesquisa tem como objeto de estudo a dinâmica de colegiados da saúde, com destaque para a comunicação entre usuários e trabalhadores de saúde, vista como horizonte operativo da participação, em espaços concretos na Estratégia Saúde da Família (ESF). A ESF está pautada nos princípios do Sistema Único de Saúde (SUS), especialmente no da participação social, regulamentado pela legislação sanitária, por meio de Conferências e Conselhos de Saúde. Os Conselhos de Saúde e colegiados similares são espaços nos quais deve ser fomentada a participação da sociedade civil para atuar sobre as políticas públicas. A literatura aponta limites dos fóruns da saúde, com ênfase para o predomínio da concepção biologicista e curativista de saúde, da comunicação impositiva, prescritiva e da falta de capacitação para o exercício da participação social; e potencialidades como maior integração entre usuários e entre esses e trabalhadores de saúde. Para a realização desta pesquisa, nos baseamos em aproximações com a Teoria da Ação Comunicativa de Jürgen Habermas que compreende a comunicação como um acordo intersubjetivo entre os sujeitos e a participação social como a relação entre a sociedade civil e política...

Participação de usuários de serviços de saúde mental em pesquisas : um olhar a partir dos conceitos de empowerment e recovery; Participation of users of mental health services in research : a view from the concepts of empowerment and recovery

Rodrigo Fernando Presotto
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 21/02/2013 PT
Relevância na Pesquisa
46.16%
O Sistema Único de Saúde (SUS) inaugurou no Brasil uma nova concepção de saúde fundamentada em doutrinas e princípios norteadores da forma como são pensadas, elaboradas e executadas a ações e as políticas públicas de saúde. Assim sendo, é preconizada pelo SUS a participação dos cidadãos usuários do sistema por meio dos órgãos de controle social, o que tem proporcionado um espaço privilegiado de discussão entre usuários, profissionais e gestores dos serviços de saúde, estratégia que claramente sinaliza para a equiparação e valorização do conhecimento da população usuária ao conhecimento de técnicos e gestores da saúde. O SUS foi concebido em um período de enorme efervescência política e social, em um contexto de contestação do estado militar ditatorial e reivindicação pela reabertura democrática de nosso país por inúmeras classes, instituições e movimentos sociais, o que contribuiu para o surgimento e o ressurgimento de diversos movimentos sociais que, além de apoiar o movimento de contestação da ditadura, defendiam reformas, mudanças radicais em diversas áreas e a efetiva implementação das políticas sociais brasileiras. Como por exemplo, os movimentos da Reforma Sanitária e da Luta Antimanicomial...

Participation of adolescents in the Family Health Strategy from the theoretical-methodological structure of an enabler to participation

Vieira,Roberta Peixoto; Gomes,Sílvia Helena Pereira; Machado,Maria de Fátima Antero Sousa; Bezerra,Italla Maria Pinheiro; Machado,Caroline Antero
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2014 EN
Relevância na Pesquisa
46.19%
OBJECTIVE: to evaluate the participation of adolescents in the Family Health Strategy, from the theoretical-methodological structure of an enabler to participation. METHOD: a quantitative study, conducted from December of 2010 to March of 2011, with 213 professionals in the FHS in the region of Cariri-Ceará-Brazil. Data were collected through a questionnaire and organized in SPSS 18.0. RESULTS: the level of normative participation becomes manifest beginning with the adolescent search for health services, motivated by disease (77.9%). Normative participation + independence appear when they seek prenatal care and family planning. Emancipatory participation was identified by the frequency of adolescents in group activities, in the schools, and a move in the direction of the level of transformative participation was observed. CONCLUSION: in this context, it is understood that there exists a need to stimulate the participatory process of the adolescents for a change in health promotion in this group.

Consumer Participation in Infrastructure Regulation : Evidence from the East Asia and Pacific Region

Muzzini, Elisa
Fonte: Washington, DC : World Bank Publicador: Washington, DC : World Bank
EN_US
Relevância na Pesquisa
66.64%
Consumer Participation in Infrastructure Regulation draws on results of a survey questionnaire conducted among 45 infrastructure regulators in the East Asia and Pacific (EAP) region. It finds that EAP regulators have successfully begun to involve consumers in the regulatory process: consumer representation is a well-established practice in the region; and regulators draw on standard mechanisms to inform consumers, resolve consumer complaints, and solicit consumer input. However, regulators must take further actions to firmly move up the "ladder of consumer engagement," from merely providing information to actively consulting with consumers. In particular, consumer participation would benefit from more open disclosure policies, more effective strategies to reach out to the poor, and, tighter regulatory intervention to hold service providers accountable for resolving consumer complaints.

Transforming Electricity Governance in India

Khanna, Ashish; Singh, Daljit; Swain, Ashwini K.; Narain, Mudit
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Trabalho em Andamento
EN_US
Relevância na Pesquisa
46.68%
Consumers’ participation in regulatory decision-making in infrastructure sectors can be critical to ensure effective regulatory governance. Providing avenues for enabling consumers’ voice in the regulatory process expands the information base available to regulators in their decision-making, and is critical for ensuring sustainability of policy and regulatory decisions. However, in the reform process of many developing countries’ power sectors, the primary focus has been on the sector’s technical aspects, with inadequate effort to improve the experience of consumers, whether through better quality of service or by ensuring their participation in the regulatory process. This shortfall has often undermined the public’s understanding of and demand for reforms, often reflected in political reversal of key policy decisions. This paper examines the level and quality of consumer participation and protection in five states in India through a review of documents, surveys of consumers, and detailed interviews with key stakeholders. As mandated by law...

Consumer participation : ensuring suicide postvention research counts for end users

Wilson, A.
Fonte: Blackwell Science Asia Pty Ltd Publicador: Blackwell Science Asia Pty Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
56.26%
Primary health-care research is about working with those who have a vested interest in the outcomes of that research, including consumers, service providers and service organizations. This article describes how consumers were included in the research processes of a South Australian study into suicide postvention services, and illustrates important principles to consider when including consumers in research. A concurrent mixed-method approach facilitated the collection of mixed data through the application of questionnaires. The study was conducted in an Australian metropolitan area. Because of media releases, a large number of people rang to enquire and volunteer their participation. From over 200 expressions of interest, 161 individuals participated. The participation of consumers in the research process ensured the findings were relevant for end users. A number of recommendations for the care and support of those bereaved through suicide were developed as a result.; Anne Wilson

Reconstructing consumer participation in evidence-based health care: a polemic

Jordan, Z.; Court, A.
Fonte: Wiley-Blackwell Publishing Ltd Publicador: Wiley-Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
56.47%
Consumer participation in the evidence-based health-care movement is largely seen as important by those who promote evidence-based health care but is surrounded by a range of competing discourses that variously critique medicine, nursing or health-care systems; situate consumers as powerless players within systems characterized by controlling health professionals; or politicize the role of the consumer as activist and defender of patient rights. This paper explores these competing discourses and develops an argument that asserts that the social construction of the evidence-based movement has rendered previously accepted terminology regarding the user or receiver of health services relatively meaningless. The result has been the ‘politicisation’ and ‘professionalisation’ of consumer participation and the time has come to reconstruct consumer participation in evidence-based health care – from the generation of evidence to guideline development.; Zoe Jordan and Anthea Court

Consumer perspectives in surgical research and audit

Ahern, E.; Thavaneswaran, P.; Babidge, W.; Maddern, G.
Fonte: Cambridge Univ Press Publicador: Cambridge Univ Press
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
46.2%
Objectives: The aim was to learn about perspectives of consumers contributing to the work of the Division of Research, Audit and Academic Surgery of the Royal Australasian College of Surgeons. The research arm of the Division has worked with consumers since it was formed in 1998. Methods: Nine consumers who worked with the Division over the past 5 years completed (1) a written survey focused on their background and past experience, and (2) a semi-structured phone interview focused on their motivations for becoming involved in this work; their role; the evolution of the role of consumers in healthcare research; and what health information for consumers should contain. Results: Participants came from various backgrounds and had different motivations for being involved. A common theme was concern about uncertainties in surgery and the need to provide consumers with information about potential benefits and risks of a procedure. Participants believed that a consumer presence was vital in research on surgical procedures, and that the content and wording of consumer information must be chosen carefully in order for the public to use it in a meaningful way. They also acknowledged the changing role of the consumer, who was rapidly becoming a partner in the doctor–patient relationship. Conclusions: In surgical research and audit...

Content analysis of Australian direct-to-consumer websites for emerging breast cancer imaging devices

Vreugdenburg, T.D.; Laurence, C.O.; Willis, C.D.; Mundy, L.; Hiller, J.E.
Fonte: MJA Group Australia Publicador: MJA Group Australia
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
46.14%
OBJECTIVE: To describe the nature and frequency of information presented on direct-to-consumer websites for emerging breast cancer imaging devices. DESIGN: Content analysis of Australian website advertisements from 2 March 2011 to 30 March 2012, for three emerging breast cancer imaging devices: digital infrared thermal imaging, electrical impedance scanning and electronic palpation imaging. MAIN OUTCOME MEASURES: Type of imaging offered, device safety, device performance, application of device, target population, supporting evidence and comparator tests. RESULTS: Thirty-nine unique Australian websites promoting a direct-to-consumer breast imaging device were identified. Despite a lack of supporting evidence, 22 websites advertised devices for diagnosis, 20 advertised devices for screening, 13 advertised devices for prevention and 13 advertised devices for identifying breast cancer risk factors. Similarly, advertised ranges of diagnostic sensitivity (78%-99%) and specificity (44%-91%) were relatively high compared with published literature. Direct comparisons with conventional screening tools that favoured the new device were highly prominent (31 websites), and one-third of websites (12) explicitly promoted their device as a suitable alternative. CONCLUSIONS: Australian websites for emerging breast imaging devices...

Check consumer policy and consumer participation : recommendations for evidence-based consumer policy

HAGEN, Kornelia; MICKLITZ, Hans-Wolfgang; OEHLER, Andreas; REISCH, Lucia A.; STRUENCK, Christoph
Fonte: Springer Basel Ag Publicador: Springer Basel Ag
Tipo: Artigo de Revista Científica
DE
Relevância na Pesquisa
66.57%
The paper discusses the opportunities for an empirically grounded decision support system as an instrument for independent and scientifically based consumer policy consulting. To date, consumer policy is dominated by the information paradigm and the leitbild of the rational, sovereign and information-seeking consumer. Yet, both everyday practice and research in behavioural economics show that this view lacks empirical ground. In fact, there are different consumer types and different forms of rationalities at work. Effective consumer policy making should be based on the empirically revealed behaviour of consumers, not on an ideal model. Moreover, it is often not clear how much consumer policy measures actually contribute to the consumer interest, and whether there would be more effective and efficient policy instruments to strengthen the consumer position. The authors suggest introducing an empirically based "Check Consumer Policy and Consumer Participation" as a systematic decision and evaluation tool for policy makers. This check should be independent from the government and should be grounded on an empirical view of the consumer. Consumer policy tools should be tested with real consumers. The authors suggest an independent national "Expert Council for Consumer Policy" as an ideal candidate to supervise this work.

The paradoxical empowerment of consumer-citizens through advertising

Melo, Ana Duarte
Fonte: Universidade do Minho. Centro de Estudos de Comunicação e Sociedade (CECS) Publicador: Universidade do Minho. Centro de Estudos de Comunicação e Sociedade (CECS)
Tipo: Parte de Livro
Publicado em /06/2015 ENG
Relevância na Pesquisa
46.23%
As the use of new media and the new uses of traditional media evolve in the contemporary everyday life, appeals to consumer participation in advertising appear to have seized the communication process of brands and organisations, thus evoking an empowering trend and suggesting, at least at the discourse level, a transfer of power from corporations to consumers and citizens. This paper discusses the concept of empowerment through the participations of consumer-citizens in and through advertising, reflects critically on the nature, meaning and impact of this empowerment, arguing that it involves paradoxical processes and results and concludes by suggesting media literacy approaches to promote communicational power balance and sustainability.

Assessing Participation of Women in a Cervical Cancer Screening Program in Peru; Rev Panam Salud Publica

Robles, S. C.; Ferreccio, C.; Tsu, V.; Winkler, J.; Almonte, M.; Bingham, A.; Lewis, M.; Sasieni, P.
Fonte: Banco Mundial Publicador: Banco Mundial
Tipo: Journal Article; Journal Article
EN
Relevância na Pesquisa
46.16%
OBJECTIVE: To assess systemic and individual factors influencing participation of women in a screening program for cervical cancer. METHODS: In November 2000, a new cervical cancer screening program was introduced in the Region of San Martin, Peru. A total of 107 683 women, ages 25-49, were eligible for screening. This report covers the initial period from program inception through 31 October 2003. We used data from the program information system to identify systemic factors and individual characteristics influencing women's participation. We conducted a three-step analysis: we assessed systemic factors at the level of micronetworks or group of health centers, we estimated the odds of being a new user (never screened or not screened in the past 5 years) according to sociodemographic characteristics, and we assessed how women learned about the availability of screening services while controlling for influential factors identified in previous analyses. RESULTS: During the 3-year period, 36 759 eligible women attended screening services, for a participation rate of 32.3%. While attendance varied by area and time period, the program attracted 12 208 new users. Health care micronetworks with available static screening services had higher participation. New users were more likely than regular users to have less education and to report low use of family-planning services. All other factors being equal...

Role of Consumer Information in Today's Health Care System

Sangl, Judith A.; Wolf, Linda F.
Fonte: CENTERS for MEDICARE & MEDICAID SERVICES Publicador: CENTERS for MEDICARE & MEDICAID SERVICES
Tipo: Artigo de Revista Científica
Publicado em //1996 EN
Relevância na Pesquisa
46.25%
This overview discusses articles published in this issue of the Health Care Financing Review, entitled “Consumer Information in a Changing Health Care System.” The overview describes several trends promoting more active consumer participation in health decisions and how consumer information facilitates that role. Major issues in developing consumer information are presented, stressing how orientation to consumer needs and use of social marketing techniques can yield improvement. The majority of the articles published in this issue of the Review discuss different aspects of information for choice of health plan, ranging from consumer perspectives on their information needs and their comprehension of quality indicators, to methods used for providing such information, such as direct counseling and comparative health plan performance data. The article concludes with thoughts on how we will know if we succeed in developing effective consumer health information.

Towards a development framework of consumer and carer participation in child and adolescent mental health services

MacDonald, Elspeth; Lee, Erica; Geraghty, Kerry; McCann, Karen; Mohay, Heather; O'Brien, Tom
Fonte: Sage Publications Inc Publicador: Sage Publications Inc
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
56.36%
Objective: This paper examines the concept of consumer participation in the context of developmental changes in parent/child relationships and associated differences in the utilization of child and adolescent mental health services. Method: Existing defin

Rádio comunitária como mecanismo para participação social no contexto da gestão descentralizada dos serviços de saúde; Broadcasting as a mechanism for consumer participation in the context of delivery health care

Gallo, Paulo Rogério; Blake, Márcia de Toledo; Motta-Gallo, Sophia Karlla Almeida
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/12/2011 POR; ENG
Relevância na Pesquisa
66.4%
OBJETIVO: compreender a percepção de gestores de Unidades de Saúde sobre o uso das rádios comunitárias (RC) como mecanismo para a ampliação da participação e processo de controle social no contexto da gestão descentralizada da saúde. MÉTODO: descrição e exploração, com abordagem qualitativa, de recortes discursivos de entrevistas com gestores de municípios brasileiros, analisados em quatro eixos temáticos: (1) RC como ambiente de uso popular; (2) RC como espaço de comunicação e de educação em saúde; (3) concepção sobre o modelo de atenção à saúde; (4) participação social nos serviços de saúde. RESULTADOS: a partir dos modelos de gestão adotados, observa-se tendência ao exercício instrucional de educação em saúde. Proposta que preconiza ações de saúde e intervenção, normativas. Este modelo de atenção e educação se distancia da perspectiva da compreensão da Saúde como produto histórico. O enfoque educativo adotado salienta a importância de ações higienistas de saúde, naturalizando a abordagem sobre os determinantes sociais do processo saúde-doença.; OBJECTIVE: to understand the perception of managers of health units on the use of community radio (CR) as a mechanism for expansion of consumer participation and control process in the context of delivery health care. METHOD: study with descriptive exploratory design and qualitative approach based on interviews with managers of counties analyzed under four themes: (1) CR environment and popular use...

Academic consumer researchers: a bridge between consumers and researchers

Griffiths, Kathleen; Jorm, Anthony F; Christensen, Helen
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
56.5%
Objective: To describe the contributions that consumers, and academic consumer researchers in particular, can make to mental health research. Method: A literature survey and a systematic consideration of the potential advantages of consumer and academic consumer researcher involvement in health research. Results: Consumer researchers may contribute to better health outcomes, but there are significant barriers to their participation in the research process. To date, discussion has focused on the role of nonacademic consumers in the health research process. There has been little recognition of the particular contributions that consumers with formal academic qualifications and research experience can offer. Academic consumer researchers (ACRs) offer many of the advantages associated with lay consumer participation, as well as some unique advantages. These advantages include acceptance by other researchers as equal partners in the research process; skills in research; access to research funding; training in disseminating research findings within the scientific community; potential to influence research funding and research policy; capacity to influence the research culture; and potential to facilitate the involvement of lay consumers in the research process. In recognition of the value of a critical mass of ACRs in mental health...

Legislação relativa à saúde mental: revisão de algumas experiências internacionais; Mental health legislation: a review of some international experiences

Bertolote, José M.
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/04/1995 POR
Relevância na Pesquisa
46.14%
Apresenta-se atualização das principais áreas de interesse atual sobre a legislação relativa à saúde mental, a saber: direitos dos doentes mentais (direito à assistência e direitos humanos); qualidade da assistência; utilização da via administrativa e do controle orçamentário; e a participação dos usuários na organização e administração dos serviços de saúde mental. Com base em exemplos atualizados de modelos legislativos em várias jurisdições em alguns países, descreve-se a evolução da legislação internacional referente às pessoas acometidas de doenças mentais, indica as tendências atuais e aponta alternativas para a melhoria da situação dos direitos humanos dos doentes mentais e da qualidade da assistência que lhes é oferecida.; The main areas dealt with by current mental health legislation, worldwide, are reviewed. These areas concern mainly: (I) rights of the mentally ill (right to care and human rights), (ii) quality of care, (iii) the use of administrative and budget control measures, and (iv) consumer participation and involvement in the organization and management of mental health care services. The evolution of international legislation (particularly United Nations Declarations, Covenants and Resolutions) relative to people with mental disorders are described on the basis of up-to-date examples of legal models from different jurisdictions throughout the world. The main current trends are identified and alternatives are advanced for the respect of the human rights of these people and for the improvement of their care. The basis for these proposed alternatives is to be found in the recently approved United Nations General Assembly Resolution on "The protection of persons with mental illness and the improvement and the improvement of mental health care". This Resolution is described and discussed in some detail.

Construindo a participação social no SUS: um constante repensar em busca de equidade e transformação; Building social participation on the Brazilian Health System: a constant rethinking that seeks fairness and transformation

Coelho, Juliana Sousa
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/05/2012 POR
Relevância na Pesquisa
46.21%
Trata-se de um ensaio que expõe reflexões sobre a busca e o exercício da participação social no Sistema Único de Saúde (SUS), compreendendo seu conceito como as diferentes ações dos grupos sociais que influenciam a formulação, execução, fiscalização e avaliação das políticas públicas. Por isso o fato de a comunidade participar no sistema de saúde é visto como condição fundamental para o exercício pleno da saúde, capaz de promover equidade e de transformar a atenção à saúde. As ações de construir a cidadania e formar sujeitos coletivos são tomadas como fundamentos para a conquista de espaços democráticos e de direitos sociais. Mapeou-se a normatização atual referente à participação popular, considerando seus avanços, mas explicitando também suas fragilidades, principalmente no que tange aos conselhos e conferências de saúde. No ambiente dos espaços institucionais de participação, foram destacados elementos necessários para consolidar e efetivar a participação popular, como a relação entre os atores e a comunicação para a socializar as informações e conhecimentos em saúde. Busca-se também problematizar o assunto, trazendo à tona alguns dos obstáculos e críticas relativos à participação social. Pretende-se...

Participation in health impact assessment: objectives, methods and core values

Wright,John; Parry,Jayne; Mathers,Jonathan
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2005 EN
Relevância na Pesquisa
46.16%
Health impact assessment (HIA) is a multidisciplinary aid to decision-making that assesses the impact of policy on public health and on health inequalities. Its purpose is to assist decision-makers to maximize health gains and to reduce inequalities. The 1999 Gothenburg Consensus Paper (GCP) provides researchers with a rationale for establishing community participation as a core value of HIA. According to the GCP, participation in HIA empowers people within the decision-making process and redresses the democratic deficit between government and society. Participation in HIA generates a sense that health and decision-making is community-owned, and the personal experiences of citizens become integral to the formulation of policy. However, the participatory and empowering dimensions of HIA may prove difficult to operationalize. In this review of the participation strategies adopted in key applications of HIA in the United Kingdom, we found that HIA's aim of influencing decision-making creates tension between its participatory and knowledge-gathering dimensions. Accordingly, researchers have decreased the participatory dimension of HIA by reducing the importance attached to the community's experience of empowerment, ownership and democracy...