What’s Involved with Wanting to Be Involved? Comparing Expectations for Public Engagement in Health Policy across Research and Care Contexts

Autor: Carolyn J. Barg, Robin Z. Hayeems, Yvonne Bombard, Céline Cressman, Fiona A. Miller, Michael Painter-Main
Rok vydání: 2017
Předmět:
Zdroj: Healthcare Policy
ISSN: 1715-6580
DOI: 10.12927/hcpol.2017.25323
Popis: Objectives We explored public preferences for involvement in health policy decisions, across the contexts of medical research and healthcare. Approach We e-surveyed a sample of Canadians, categorizing respondents by preferences for decision control: (1) more authority; (2) more input; (3) status quo. Two generalized ordered logistic regressions assessed influences on preferences. Results The participation rate was 94%; 1,102 completed responses met quality criteria. The dominant preference was for more input (average = 52.0%), followed by status quo (average = 24.9%) and more authority (average = 21.1%), though preferences for more control were higher in healthcare (57.2%) than medical research (46.8%). Preferences for greater control were associated with constructs related to reduced trust in healthcare systems. Conclusion The public expects health policy to account for public views, but not base decisions primarily on these views. More involvement was expected in healthcare than medical research policy. As opportunities for public involvement in health research grow, we anticipate increased desired involvement.
Databáze: OpenAIRE