Given the task of distributing scarce resources, decision makers are faced with the question of how to involve an increasingly threatened and disenfranchised public in decisions affecting their communities. This article introduces a systematic approach to public involvement in community decision-making and identifies key elements in the design of institutionally driven public participation exercises. Examples are drawn from the health care system restructuring experiences of three Ontario communities.
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References
1.
The Association of District Health Councils of Ontario and The Ontario Ministry of Health.Moving Forward: Strengthening Health Planning in Ontario. A Report by the Joint Task Force to the Minister of Health. Toronto, ADHCO and OMOH, 1993.
2.
Arnstein S.A Ladder of Citizen Participation. Journal of the American Institute of Planners1969; 35: 216–24.
3.
HughesTLarsonL. Patient Involvement in Health Care: A Procedural Justice Viewpoint. Medical Care1991; 29(3): 297–303.
4.
AbelsonJLomasJEylesJBirchS and VeenstraG. Does the Community Want Devolved Authority? Results of Deliberative Polling in Ontario. Canadian Medical Association Journal1995; 153(4): 403–12.
5.
LomasJVeenstraG. If You Build it Who Will Come?Policy Options November 1995: 37–40.
6.
FishkinJ. Democracy and Deliberation. New Haven, Yale University Press, 1991.
7.
Renfrew County District Health Council.Pembroke Hospital Services Review Committee — Final Report. Pembroke, RCDHC, August 1995.
8.
Hamilton-Wentworth District Health Council.Our Health, Our Future: A Comprehensive Health Care Plan for Hamilton-Wentworth. Report of the Health Action Task Force to the Hamilton-Wentworth DHC. Hamilton, HWDHC, 4 March 1996.
9.
LevineM. Getting informed public input. The Hamilton Spectator 11 January 1996. Sect A: 7 (cols 1–3).
10.
HerronS. Explain plan, task force told. The Hamilton Spectator 8 March 1996. Sect C: 7 (col 5).
11.
DavyD. Proposal to close St. Joe's met with anger. The Hamilton Spectator 9 March 1996. Sect B: 4 (cols 4–5).
12.
PlathR. Benchmark for beds attacked by public. Pembroke Observer 22 November 1994. 3 (cols 1–2).
13.
Ottawa-Carleton District Health Council.Directions for Change: Position Paper on Reconfiguration Scenarios. Position paper prepared by the Options Development Task Group, Health Services Reconfiguration Project. Ottawa, OCRDHC, 11 December 1995.
14.
MacDonaldLMondelM. Managing Public Conflict: How to involve citizens in making the hard choices. The Ottawa Citizen 4 February 1996. Sect A: 9 (cols 1–5).
15.
PirocchiI. The viewpoint of patients has to be heard. The Hamilton Spectator 18 January 1996. Sect A: 7 (cols 1–4).
16.
Editorial.Out of Touch. The Hamilton Spectator 1 April 1996. Sect A: 8 (col 1).
17.
Editorial.Hospital emergency. The Ottawa Citizen 13 December 1995. Sect A: 10 (cols 1–2).
18.
Hamilton-Wentworth District Health Council.Health Action Task Force Working Paper on Open Consultation. Hamilton, HWDHC, 23 February 1996.
19.
Ottawa-Carleton Regional District Health Council.Overview of Response to Options Development Task Group Scenarios. Ottawa, OCRDHC, 18–19 December 1995.
20.
CheckowayB. The Empire Strikes Back: More Lessons for Health Care Consumers. Journal of Health Politics, Policy and Law1982; 7(1): 111–124.
21.
HenigJ. Neighborhood Mobilization: Redevelopment and Response. New Brunswick, New Jersey, Rutgers University Press, 1982.
22.
AronsonJ. Giving Consumers a Say in Policy Development: Influencing Policy or Just Being Heard?Canadian Public Policy1993; 19(4): 367–78.
23.
EKOS Research Associates Inc.Constituent Assembly Survey of Residents of the Regional Municipality of Hamilton-Wentworth, Final Report. In Building Better Government: Interim Report from the Constituent Assembly. Hamilton: Constituent Assembly on the Municipal Government System in Hamilton-Wentworth, 23 November 1995.
24.
Canadian Facts.Personal correspondence. August 1995.
25.
ConnorDM. A Generic Design for Public Involvement Programs. Paper presented to the Annual Conference of the National Association of Environmental Professionals. Raleigh, NC, 26 May 1993.
