IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v125y2021i5p582-586.html
   My bibliography  Save this article

Institutional reforms to strengthen patient and public involvement in the Czech Republic since 2014

Author

Listed:
  • Dobiášová, Karolína
  • Kotherová, Zuzana
  • Numerato, Dino

Abstract

Many countries aim to strengthen patient and public involvement (PPI) in healthcare decision-making. This article discusses the institutionalisation of PPI in the Czech Republic from 2014 to the present based on a review of available documents as well as interviews with policymakers and representatives of patients’ organisations. Important steps that contributed to the institutionalisation of PPI were the establishment of the Ministry of Health's (MoH) Patients’ Council and the MoH's Patients’ Rights Support Department. The institutionalisation of PPI was facilitated through the bottom-up engagement of patients, top-down policy developments, transnational pressures, the support of statutory insurance funds and the pharmaceutical industry, and macro-societal developments. Compared to other post-socialist countries, the institutionalisation of patient involvement in policymaking is amongst the most developed. Although the pharmaceutical industry enhanced PPI, its involvement raised ethical concerns. Various stakeholders called for public funding of patients’ organisations to provide them with a stable income and more independence. In summary, the role of patients has been strengthened through macro-institutional involvement. Further progress will demonstrate whether these changes at the macro level of policymaking will stimulate more profound transformations at the meso and micro levels and, therefore, contribute to more profound cultural changes in doctor-patient relationships.

Suggested Citation

  • Dobiášová, Karolína & Kotherová, Zuzana & Numerato, Dino, 2021. "Institutional reforms to strengthen patient and public involvement in the Czech Republic since 2014," Health Policy, Elsevier, vol. 125(5), pages 582-586.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:5:p:582-586
    DOI: 10.1016/j.healthpol.2021.03.011
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S016885102100083X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2021.03.011?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. Tritter, Jonathan Quetzal & McCallum, Alison, 2006. "The snakes and ladders of user involvement: Moving beyond Arnstein," Health Policy, Elsevier, vol. 76(2), pages 156-168, April.
    2. Wait, Suzanne & Nolte, Ellen, 2006. "Public involvement policies in health: exploring their conceptual basis," Health Economics, Policy and Law, Cambridge University Press, vol. 1(2), pages 149-162, April.
    3. Livio Garattini & Anna Padula, 2018. "Patient empowerment in Europe: is no further research needed?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(5), pages 637-640, June.
    4. Kolasa, Katarzyna & Dohnalik, Jacek & Borek, Ewa & Siemiątkowski, Marek & Ścibiorski, Cezary, 2014. "The paradox of public participation in the healthcare in Poland – What citizens want, and what they think," Health Policy, Elsevier, vol. 118(2), pages 159-165.
    Full references (including those not matched with items on IDEAS)

    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. Greer, Scott L. & Stewart, Ellen A. & Wilson, Iain & Donnelly, Peter D., 2014. "Victory for volunteerism? Scottish health board elections and participation in the welfare state," Social Science & Medicine, Elsevier, vol. 106(C), pages 221-228.
    2. Lancaster, K. & Seear, K. & Treloar, C. & Ritter, A., 2017. "The productive techniques and constitutive effects of ‘evidence-based policy’ and ‘consumer participation’ discourses in health policy processes," Social Science & Medicine, Elsevier, vol. 176(C), pages 60-68.
    3. Gauvin, Francois-Pierre & Abelson, Julia & Giacomini, Mita & Eyles, John & Lavis, John N., 2010. ""It all depends": Conceptualizing public involvement in the context of health technology assessment agencies," Social Science & Medicine, Elsevier, vol. 70(10), pages 1518-1526, May.
    4. Wahl, Charlotte, 2013. "Swedish municipalities and public participation in the traffic planning process – Where do we stand?," Transportation Research Part A: Policy and Practice, Elsevier, vol. 50(C), pages 105-112.
    5. Charles Cunningham & Ken Deal & Yvonne Chen, 2010. "Adaptive Choice-Based Conjoint Analysis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 3(4), pages 257-273, December.
    6. Anne Seneca Terkelsen & Christian Tolstrup Wester & Gabriel Gulis & Jørgen Jespersen & Pernille Tanggaard Andersen, 2022. "Co-Creation and Co-Production of Health Promoting Activities Addressing Older People—A Scoping Review," IJERPH, MDPI, vol. 19(20), pages 1-20, October.
    7. Nitsch, Martina & Waldherr, Karin & Denk, Enrica & Griebler, Ursula & Marent, Benjamin & Forster, Rudolf, 2013. "Participation by different stakeholders in participatory evaluation of health promotion: A literature review," Evaluation and Program Planning, Elsevier, vol. 40(C), pages 42-54.
    8. Richard Peter Bailey & Suria Angit, 2022. "Conceptualising Inclusion and Participation in the Promotion of Healthy Lifestyles," IJERPH, MDPI, vol. 19(16), pages 1-14, August.
    9. Pratt, Bridget & Merritt, Maria & Hyder, Adnan A., 2016. "Towards deep inclusion for equity-oriented health research priority-setting: A working model," Social Science & Medicine, Elsevier, vol. 151(C), pages 215-224.
    10. Anand Chand & Suwastika Naidu, 2017. "Health Care Service Quality and Availability of Skilled Health Workforce: A Panel Data Modelling of the UK, USA and Israel," Modern Applied Science, Canadian Center of Science and Education, vol. 11(10), pages 152-152, October.
    11. Germán Jaraíz Arroyo & Auxiliadora González Portillo, 2020. "Focus on Weaknesses or Strengths? Determining Factors for an Inclusive and Relational Management in Public Community Social Service Organizations," Sustainability, MDPI, vol. 12(24), pages 1-14, December.
    12. Konsti-Laakso, Suvi & Rantala, Tero, 2018. "Managing community engagement: A process model for urban planning," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1040-1049.
    13. Wehn, Uta & Evers, Jaap, 2015. "The social innovation potential of ICT-enabled citizen observatories to increase eParticipation in local flood risk management," Technology in Society, Elsevier, vol. 42(C), pages 187-198.
    14. Cardullo, Paolo & Kitchin, Rob, 2017. "Being a ‘citizen’ in the smart city: Up and down the scaffold of smart citizen participation," SocArXiv v24jn, Center for Open Science.
    15. Lopes, Edilene & Carter, Drew & Street, Jackie, 2015. "Power relations and contrasting conceptions of evidence in patient-involvement processes used to inform health funding decisions in Australia," Social Science & Medicine, Elsevier, vol. 135(C), pages 84-91.
    16. Bullinger, Angelika C. & Rass, Matthias & Adamczyk, Sabrina & Moeslein, Kathrin M. & Sohn, Stefan, 2012. "Open innovation in health care: Analysis of an open health platform," Health Policy, Elsevier, vol. 105(2), pages 165-175.
    17. Elena Druică & Cristian Băicuș & Rodica Ianole-Călin & Ronald Fischer, 2021. "Information or Habit: What Health Policy Makers Should Know about the Drivers of Self-Medication among Romanians," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    18. Andrea Young & Devidas Menon & Jackie Street & Walla Al-Hertani & Tania Stafinski, 2018. "Engagement of Canadian Patients with Rare Diseases and Their Families in the Lifecycle of Therapy: A Qualitative Study," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(3), pages 353-359, June.
    19. Elisabeth Schauppenlehner-Kloyber & Marianne Penker, 2016. "Between Participation and Collective Action—From Occasional Liaisons towards Long-Term Co-Management for Urban Resilience," Sustainability, MDPI, vol. 8(7), pages 1-18, July.
    20. Yoeli, Heather & Dhital, Ranjita & Hermaszewska, Susannah & Sin, Jacqueline, 2022. "A meta-ethnography of participatory health research and co-production in Nepal," Social Science & Medicine, Elsevier, vol. 301(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:5:p:582-586. 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.