IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v125y2021i2p177-184.html
   My bibliography  Save this article

Community participation and empowerment in primary health care in Emilia-Romagna: A document analysis study

Author

Listed:
  • Luisi, Daniela
  • Hämel, Kerstin

Abstract

Community participation and empowerment are seen as fundamental for achieving equitable, people-centred primary health care. Emilia-Romagna region introduced the Casa della Salute aiming to foster comprehensive primary health care and support community participation. Since the 1990s, community involvement has been promoted to improve the regional health system. The pivotal role of third sector organisations as service providers and advocates for users’ rights has been underlined. This contribution explores the evolution of the meaning and conceptualisation of community participation and empowerment in policies addressing the Casa della Salute. A qualitative document analysis study was undertaken. Three national and twelve regional documents dated between 2006 and 2019 were evaluated. The policies continuously address community participation. The Casa della Salute is seen as a designated place to promote participation and empowerment. The documents point to the need for democratic practice and shared decision-making power; third sector organisations are seen as salient community representatives and mediators. However, the policies show only a vague conceptualisation of how to empower communities; moreover, strategies to promote participation of vulnerable groups are lacking. Policies that consider the ambiguous role of the third sector, specify community empowerment, identify strategies to facilitate it and collaborate with vulnerable groups could be beneficial for further progress.

Suggested Citation

  • Luisi, Daniela & Hämel, Kerstin, 2021. "Community participation and empowerment in primary health care in Emilia-Romagna: A document analysis study," Health Policy, Elsevier, vol. 125(2), pages 177-184.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:2:p:177-184
    DOI: 10.1016/j.healthpol.2020.11.007
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851020302797
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2020.11.007?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Asha S George & Vrinda Mehra & Kerry Scott & Veena Sriram, 2015. "Community Participation in Health Systems Research: A Systematic Review Assessing the State of Research, the Nature of Interventions Involved and the Features of Engagement with Communities," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-25, October.
    2. Jo Brett & Sophie Staniszewska & Carole Mockford & Sandra Herron-Marx & John Hughes & Colin Tysall & Rashida Suleman, 2014. "A Systematic Review of the Impact of Patient and Public Involvement on Service Users, Researchers and Communities," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 7(4), pages 387-395, December.
    3. Hoon Chuah, Fiona Leh & Srivastava, Aastha & Singh, Shweta Rajkumar & Haldane, Victoria & Huat Koh, Gerald Choon & Seng, Chia Kee & McCoy, David & Legido-Quigley, Helena, 2018. "Community participation in general health initiatives in high and upper-middle income countries: A systematic review exploring the nature of participation, use of theories, contextual drivers and powe," Social Science & Medicine, Elsevier, vol. 213(C), pages 106-122.
    4. Draper, Alizon Katharine & Hewitt, Gillian & Rifkin, Susan, 2010. "Chasing the dragon: Developing indicators for the assessment of community participation in health programmes," Social Science & Medicine, Elsevier, vol. 71(6), pages 1102-1109, September.
    5. Serapioni, Mauro & Matos, Ana Raquel, 2014. "Citizen participation and discontent in three Southern European health systems," Social Science & Medicine, Elsevier, vol. 123(C), pages 226-233.
    6. Toby Freeman & Frances E. Baum & Gwyneth M. Jolley & Angela Lawless & Tahnia Edwards & Sara Javanparast & Anna Ziersch, 2016. "Service providers' views of community participation at six Australian primary healthcare services: scope for empowerment and challenges to implementation," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(1), pages 1-21, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tyhotyholo, Thembelani & Ncube, Bongani, 2023. "The rhetoric of community participation in urban South African water governance," Utilities Policy, Elsevier, vol. 82(C).
    2. Valentina Bressan & Allette Snijder & Henriette Hansen & Kim Koldby & Knud Damgaard Andersen & Natalia Allegretti & Federica Porcu & Sara Marsillas & Alvaro García & Alvisa Palese, 2022. "Supporting the Community to Embrace Individuals with Dementia and to Be More Inclusive: Findings of a Conceptual Framework Development Study," IJERPH, MDPI, vol. 19(16), pages 1-14, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Madon, Shirin & Malecela, Mwele Ntuli & Mashoto, Kijakazi & Donohue, Rose & Mubyazi, Godfrey & Michael, Edwin, 2018. "The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania," Social Science & Medicine, Elsevier, vol. 202(C), pages 28-37.
    2. Carina Dantas & Juliana Louceiro & Joana Vieira & Willeke van Staalduinen & Oscar Zanutto & Karolina Mackiewicz, 2022. "SHAFE Mapping on Social Innovation Ecosystems," IJERPH, MDPI, vol. 20(1), pages 1-10, December.
    3. Mathieu Ahouah & Monique Rothan-Tondeur, 2019. "End-Users and Caregivers’ Involvement in Health Interventional Research Carried Out in Geriatric Facilities: A Systematic Review," IJERPH, MDPI, vol. 16(16), pages 1-14, August.
    4. Seye Abimbola & Dorothy Drabarek & Shola K. Molemodile, 2022. "Self‐reliance or social accountability? The raison d'être of community health committees in Nigeria," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1722-1735, May.
    5. Beatriz Vallina Acha & Estrella Durá Ferrandis & Mireia Ferri Sanz & Maite Ferrando García, 2021. "Engaging People and Co-Producing Research with Persons and Communities to Foster Person-Centred Care: A Meta-Synthesis," IJERPH, MDPI, vol. 18(23), pages 1-25, November.
    6. Ratanavaraha, Vatanavongs & Jomnonkwao, Sajjakaj, 2013. "Community participation and behavioral changes of helmet use in Thailand," Transport Policy, Elsevier, vol. 25(C), pages 111-118.
    7. Melvyn W.B. Zhang & Jiangbo Ying, 2019. "Incorporating Participatory Action Research in Attention Bias Modification Interventions for Addictive Disorders: Perspectives," IJERPH, MDPI, vol. 16(5), pages 1-11, March.
    8. Modigh, Anton & Sampaio, Filipa & Moberg, Linda & Fredriksson, Mio, 2021. "The impact of patient and public involvement in health research versus healthcare: A scoping review of reviews," Health Policy, Elsevier, vol. 125(9), pages 1208-1221.
    9. Mariana Amorim & Susana Silva & Helena Machado & Elisa Leão Teles & Maria João Baptista & Tiago Maia & Ngozi Nwebonyi & Cláudia de Freitas, 2022. "Benefits and Risks of Sharing Genomic Data for Research: Comparing the Views of Rare Disease Patients, Informal Carers and Healthcare Professionals," IJERPH, MDPI, vol. 19(14), pages 1-16, July.
    10. Jung, Minsoo & Viswanath, K., 2013. "Does community capacity influence self-rated health? Multilevel contextual effects in Seoul, Korea," Social Science & Medicine, Elsevier, vol. 77(C), pages 60-69.
    11. Montesanti, Stephanie Rose & Abelson, Julia & Lavis, John N. & Dunn, James R., 2015. "The value of frameworks as knowledge translation mechanisms to guide community participation practice in Ontario CHCs," Social Science & Medicine, Elsevier, vol. 142(C), pages 223-231.
    12. Papoulias, Stan (Constantina) & Callard, Felicity, 2022. "Material and epistemic precarity: It's time to talk about labour exploitation in mental health research," Social Science & Medicine, Elsevier, vol. 306(C).
    13. Andrea Fogarty & Zachary Steel & Philip B. Ward & Katherine M. Boydell & Grace McKeon & Simon Rosenbaum, 2021. "Trauma and Mental Health Awareness in Emergency Service Workers: A Qualitative Evaluation of the Behind the Seen Education Workshops," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    14. Victoria Porthé & Irene García-Subirats & Catrina Clotas & Elia Diez, 2022. "Evaluation of a Community Intervention to Reduce Harmful Alcohol Consumption among Adult Population: A Study Protocol," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    15. Hoon Chuah, Fiona Leh & Srivastava, Aastha & Singh, Shweta Rajkumar & Haldane, Victoria & Huat Koh, Gerald Choon & Seng, Chia Kee & McCoy, David & Legido-Quigley, Helena, 2018. "Community participation in general health initiatives in high and upper-middle income countries: A systematic review exploring the nature of participation, use of theories, contextual drivers and powe," Social Science & Medicine, Elsevier, vol. 213(C), pages 106-122.
    16. Farmer, Jane & Currie, Margaret & Kenny, Amanda & Munoz, Sarah-Anne, 2015. "An exploration of the longer-term impacts of community participation in rural health services design," Social Science & Medicine, Elsevier, vol. 141(C), pages 64-71.
    17. Manou Anselma & Mai J M Chinapaw & Daniëlle A Kornet-van der Aa & Teatske M Altenburg, 2020. "Effectiveness and promising behavior change techniques of interventions targeting energy balance related behaviors in children from lower socioeconomic environments: A systematic review," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-20, September.
    18. Prata, Ndola & Ejembi, Clara & Fraser, Ashley & Shittu, Oladapo & Minkler, Meredith, 2012. "Community mobilization to reduce postpartum hemorrhage in home births in northern Nigeria," Social Science & Medicine, Elsevier, vol. 74(8), pages 1288-1296.
    19. Atinga, Roger A. & Agyepong, Irene Akua & Esena, Reuben K., 2019. "Willing but unable? Extending theory to investigate community capacity to participate in Ghana’s community-based health planning and service implementation," Evaluation and Program Planning, Elsevier, vol. 72(C), pages 170-178.
    20. Kim, Hyerang & Shon, Soonyoung & Shin, Hyunsook, 2020. "Exploring the unmet needs for creating an enabling environment for nurturing care to promote migrant child health in Bishkek, Kyrgyzstan: A theory-guided community-based participatory action research," Evaluation and Program Planning, Elsevier, vol. 80(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:125:y:2021:i:2:p:177-184. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.