Assessing Patient Organization Participation in Health Policy: A Comparative Study in France and Italy

Autor: Stanimir Hasurdjiev, Kyriakos Souliotis, Francois Sarkozy, Dominique Debiais, Oreste Claudio Buonomo, Chara Tzavara, Eirini Agapidaki, Dimitrios Varvaras, Lily Evangelia Peppou
Rok vydání: 2016
Předmět:
Adult
Male
Health Policy Decision-Making
Health (social science)
Psychometrics
Leadership and Management
Decision Making
Management
Monitoring
Policy and Law

03 medical and health sciences
0302 clinical medicine
Health Information Management
Cronbach's alpha
Internal consistency
Neoplasms
Surveys and Questionnaires
Humans
030212 general & internal medicine
Patient participation
Health policy
Aged
Organizations
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Construct validity
Reproducibility of Results
lcsh:RA1-1270
Public relations
Middle Aged
Patient organization
Settore MED/18 - Chirurgia Generale
Italy
Scale Development
International policy
Democracy Index
Female
Original Article
Cancer Patient Organizations (CPOs)
France
Patient Participation
0305 other medical science
Psychology
business
Zdroj: International Journal of Health Policy and Management
International Journal of Health Policy and Management, Vol 7, Iss 1, Pp 48-58 (2018)
ISSN: 2322-5939
Popis: Background Even though there are many patient organizations across Europe, their role in impacting health policy decisions and reforms has not been well documented. In line with this, the present study endeavours to fill this gap in the international literature. To this end, it aims to validate further a previously developed instrument (the Health Democracy Index - HDI) measuring patient organization participation in health policy decision-making. In addition, by utilizing this tool, it aims to provide a snapshot of the degree and impact of cancer patient organization (CPO) participation in Italy and France. Methods A convenient sample of 188 members of CPOs participated in the study (95 respondents from 10 CPOs in Italy and 93 from 12 CPOs in France). Participants completed online a self-reported questionnaire, encompassing the 9-item index and questions enquiring about the type and impact of participation in various facets of health policy decisionmaking. The psychometric properties of the scale were explored by performing factor analysis (construct validity) and by computing Cronbach α (internal consistency). Results Findings indicate that the index has good internal consistency and the construct it taps is unidimensional. The degree and impact of CPO participation in health policy decision-making were found to be low in both countries; however in Italy they were comparatively lower than in France. Conclusion In conclusion, the HDI can be effectively used in international policy and research contexts. CPOs participation is low in Italy and France and concerted efforts should be made on upgrading their role in health policy decision-making.
Databáze: OpenAIRE