Using deliberative techniques to engage the community in policy development

Australia and New Zealand Health Policy - Tập 5 - Trang 1-9 - 2008
Judy Gregory1, Janette Hartz-Karp2, Rebecca Watson3
1Information Design Centre, Brisbane, Australia
2Curtin University Sustainability Policy (CUSP) Institute, Curtin University, Fremantle, Australia
3Australian Institute of Health Policy Studies (AIHPS), Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia

Tóm tắt

This paper examines work in deliberative approaches to community engagement used in Western Australia by the Department of Planning and Infrastructure and other planning and infrastructure agencies between 2001 and 2005, and considers whether the techniques could be applied to the development of health policy in Australia. Deliberative processes were used in WA to address specific planning and infrastructure problems. Using deliberative techniques, community participants contributed to joint decision making and policy development. Outcomes from deliberative processes were seriously considered by the Minister and used to influence policy decisions. In many cases, the recommendations generated through deliberative processes were fully adopted by the Minister. The experiences in WA demonstrate that deliberative engagement processes can be successfully implemented by government and can be used to guide policy. The techniques can be adapted to suit the context and issues experienced by a portfolio, and the skills required to conduct deliberative processes can be fostered amongst the portfolio's staff. Health policy makers may be able to learn from the experiences in WA, and adopt approaches to community engagement that allow for informed deliberation and debate in the community about the future of Australia's health system.

Tài liệu tham khảo

Carson L, Hart P: An inventory of democratic deliberative processes in Australia. [http://www.activedemocracy.net] Gregory J: Conceptualising consumer engagement: A review of the literature. 2006, Melbourne: Australian Institute of Health Policy Studies (AIHPS), [http://www.aihps.org] Gregory J: Talking about consumer engagement: Themes emerging from interviews about consumer engagement in Australian health policy. 2007, Melbourne: Australian Institute of Health Policy Studies (AIHPS), [http://www.aihps.org] Gregory J: Case studies of consumer engagement in Australian health policy and related fields. 2008, Melbourne: Australian Institute of Health Policy Studies (AIHPS) CHF/NHMRC (Consumers' Health Forum/National Health and Medical Research Council: Statement on consumer and community participation in health and medical research. 2001, Canberra: NHMRC Jones K, Baggott R, Allsop J: Influencing the national policy process: The role of health consumer groups. Health Expectations. 2004, 7: 18-28. 10.1111/j.1369-7625.2004.00238.x. McBride T, Korczak V: Community consultation and engagement in health care reform. Australian Health Review. 2007, s13-s15. 31 Gagliardi A, Lemiux-Charles L, Brown A, Sullivan T, Goel V: Barriers to involvement in health service planning and evaluation: An exploratory study. Patient Education and Counselling. 2008, 70: 234-241. 10.1016/j.pec.2007.09.009. MacTiernan MLAA: Harmonising divergent voices: Sharing the challenge of decision making. IPAA NSW State Conference: 14 May 2004; Sydney. 2004 Health Canada: Health Canada policy toolkit for public involvement in decision making. Ottawa, Canada. 2000 Parkinson J: Why deliberate? The encounter between deliberation and new public managers. Public Administration. 2004, 82 (2): 377-395. 10.1111/j.0033-3298.2004.00399.x. Deliberative Democracy Consortium: Deliberation: Answers to commonly asked questions about deliberation. [http://www.deliberative-democracy.net/deliberation/] Hicks N, Harford J: Summary report on consumer participation in resource allocation. Melbourne: National Resource Centre for Consumer Participation in Health, no date. Rogers B, Robinson E: The benefits of consumer engagement: A review of the evidence. London: Active Citizenship Centre, no date. Carson L: Avoiding ghettos of like-minded people: Random selection and organizational collaboration. Creating a culture of collaboration: The International Association of Facilitators Handbook. Edited by: Schuman S. 2006, San Francisco, CA: Jossey-Bass, 419-434. Sunstein CR: The law of group polarization. Journal of Political Philosophy. 2002, 10 (2): 175-195. 10.1111/1467-9760.00148. Carson L, Hartz-Karp J: Adapting and combining deliberative designs: Juries, polls, and forums. The deliberative democracy handbook: Strategies for effective civic engagement in the Twenty-First Century. Edited by: Gastil J, P L. 2005, San Francisco: Jossey-Bass, 120-138. Delli Carpini MS, Cook FL, Jacobs LR: Public deliberation, discursive participation, and citizen engagement: A review of the empirical literature. Annual Review of Political Science. 2004, 7 (1): 315-344. 10.1146/annurev.polisci.7.121003.091630. Bentson KM: Evaluating public participation. Masters Thesis. 2003, San Diego, CA: San Diego State University Hartz-Karp J: Harmonising divergent voices: Sharing the challenge of decision-making. Public Administration Today. 2004, 14-19. Dec-Feb 2004–2005. Abelson J, Forest P-G, Eyles J, Smith P, Martin E, Gauvin F-P: Deliberations about deliberative methods: Issues in the design and evaluation of public participation processes. Social Science & Medicine. 2003, 57: 239-251. 10.1016/S0277-9536(02)00343-X. Mooney GH, Blackwell SH: Whose health service is it anyway? Community values in healthcare. Medical Journal of Australia. 2004, 180 (2): 76-78. Maxwell J, Rosell S, Forest P-G: Giving citizens a voice in healthcare policy in Canada. British Medical Journal. 2003, 326 (7397): 1031-1033. 10.1136/bmj.326.7397.1031. Scutchfield FD, Ireson C, Hall L: The voice of the public in public health policy and planning: The role of public judgement. Journal of Public Health Policy. 2004, 25 (2): 197-205. 10.1057/palgrave.jphp.3190018. Caddy J: Citizens as partners: Information, consultation and public participation in policy making. 2001, Paris: OECD (Organisation for Economic Co-operation and Development) BBC News: Patients take part in NHS debate. 2005, [http://news.bbc.co.uk/2/hi/health/4388294.stm] MacTiernan MLAA: Participatory democracy. [http://www.premier.wa.gov.au/Internal/Pages/AlannahMacTiernan_Biography.aspx] Hartz-Karp J: A case study in deliberative democracy: Dialogue with the city. Journal of Public Deliberation. 2005, 1-