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

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  • 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
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    References listed on IDEAS

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    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.
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