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‘Consultation’ or co-option? A case study from the Chilean health sector

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  • Jasmine Gideon

    (Birkbeck College, University of London, London WC1B 5DQ, UK)

Abstract

Using a macro-meso-micro framework this paper examines the shifts in the hegemonic development model and the implementation of new participatory mechanisms. It argues that despite macro-level policy shifts, in the Chilean context, the implementation of these mechanisms at the meso- and micro-levels has limited opportunities for citizen input into policy-making processes. The analysis focuses on citizen engagement with the machinery of participation and argues that the co-option of NGOs and civil society groups by the state has meant that there has been little real challenge to the implementation from civil society and policy-making remains a top-down process.

Suggested Citation

  • Jasmine Gideon, 2005. "‘Consultation’ or co-option? A case study from the Chilean health sector," Progress in Development Studies, , vol. 5(3), pages 169-181, July.
    • Handle: RePEc:sae:prodev:v:5:y:2005:i:3:p:169-181
    DOI: 10.1191/1464993405ps115oa
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    References listed on IDEAS

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    1. Lethbridge, Jane., 2002. "Social dialogue in health services : case studies in Brazil, Canada, Chile, United Kingdom," ILO Working Papers 993721723402676, International Labour Organization.
    2. repec:ilo:ilowps:372172 is not listed on IDEAS
    3. Ben Fine, 1999. "The Developmental State Is Dead—Long Live Social Capital?," Development and Change, International Institute of Social Studies, vol. 30(1), pages 1-19, January.
    4. Maxine Molyneux, 2002. "Gender and the Silences of Social Capital: Lessons from Latin America," Development and Change, International Institute of Social Studies, vol. 33(2), pages 167-188, April.
    5. Gore, Charles, 2000. "The Rise and Fall of the Washington Consensus as a Paradigm for Developing Countries," World Development, Elsevier, vol. 28(5), pages 789-804, May.
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    Cited by:

    1. Maupin, Jonathan Nathaniel, 2009. "'Fruit of the accords': Healthcare reform and civil participation in Highland Guatemala," Social Science & Medicine, Elsevier, vol. 68(8), pages 1456-1463, April.

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