Community participation and citizenship in British health care planning: narratives of power and involvement in the changing welfare state

Milewa, Timothy and Valentine, Justin and Calnan, Michael .W. (1999) Community participation and citizenship in British health care planning: narratives of power and involvement in the changing welfare state. Sociology of Health & Illness, 21 (4). pp. 445-465. ISSN 0141-9889. (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1111/1467-9566.00166

Abstract

This article considers changing conceptions of local citizenship with particular reference to the idea of 'community participation' in the planning of state health care within Britain. The aim is to gauge the extent to which a political rhetoric of community participation in the 1990s constituted an attempt to redefine the relationship between health authorities (responsible for planning and prioritising services) and local communities. Data from an investigation encompassing 75 interviews is used to chart the manner in which health authority managers have re-articulated and given substance to the rhetoric of participation. The analysis appears to confirm a 'democratic deficit' with regard to decisionmaking in health care planning but there is a significant qualification. A process of 'professionalisation' and the growth of 'active management' (rather than 'active citizenship') may in part be off-setting the democratic deficit. This process is however highly contingent upon developments in health service policy and organisation.

Item Type: Article
Uncontrolled keywords: community participation; participation; local voices; citizenship; local citizenship
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: I.T. Ekpo
Date Deposited: 05 Apr 2009 22:13
Last Modified: 14 May 2014 08:00
Resource URI: http://kar.kent.ac.uk/id/eprint/16934 (The current URI for this page, for reference purposes)
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