+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Beyond tokenistic participation: using representational artefacts to enable meaningful public participation in health service design



Beyond tokenistic participation: using representational artefacts to enable meaningful public participation in health service design



Health Policy 112(3): 179-186



A number of recent policies promote public participation in health service design. Yet, a growing literature has articulated a gap between policy aims and actual practice resulting in public participation becoming tokenistic. Drawing on theory from participatory design, we argue that choosing appropriate artefacts to act as representations can structure discussions between public participants and health professionals in ways that both groups find meaningful and valid. Through a case study of a service improvement project in outpatient services for older people, we describe three representational artefacts: emotion maps, stories, and tracing paper, and explain how they helped to mediate interactions between public participants and health professionals. We suggest that using such representational artefacts can provide an alternative approach to participation that stands in contrast to the current focus on the professionalisation of public participants. We conclude that including participatory designers in projects, to chose or design appropriate representational artefacts, can help to address the policy-practice gap of including public participants in health service design.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036939276

Download citation: RISBibTeXText

PMID: 23786993

DOI: 10.1016/j.healthpol.2013.05.008


Related references

Public participation and civic participation of service users in relation to the Mental Health Action Plan 2005-2010: their spokesperson function. Sante Mentale au Quebec 39(1): 175-193, 2014

Measures of social function and participation in musculoskeletal populations: Impact on Participation and Autonomy (IPA), Keele Assessment of Participation (KAP), Participation Measure for Post-Acute Care (PM-PAC), Participation Objective, Participation Subjective (POPS), Rating of Perceived Participation (ROPP), and The Participation Scale. Arthritis Care and Research 63(Suppl. 11): S325-S336, 2011

Public-sector managed behavioral health care: III. Meaningful consumer and family participation. Psychiatric Services 50(7): 883-885, 1999

The participation of mental health service users in Ontario, Canada: a Canadian Application of the Consumer Participation Questionnaire. International Journal of Social Psychiatry 53(2): 148-158, 2007

Participation of the employees in the management of a public health service. Boletin de la Oficina Sanitaria Panamericana. Pan American Sanitary Bureau 84(6): 471-480, 1978

Are elected health boards an effective mechanism for public participation in health service governance?. Health Expectations 13(4): 369-378, 2010

THE United States Public Health Service and the development of federal participation in health control. Journal of Pediatrics 30(1): 106-109, 2014

Participation of legal-medical service in solving Soviet public health problems. Sovetskoe Zdravookhranenie 17(2): 42-46, 1958

Rationalising public participation in the health service: the case of research ethics committees. Health and Place 10(4): 339-348, 2004

Collaborative Tourism Planning in Ireland Tokenistic Consultation and the Politics of Participation. Journal of Environmental Policy and Planning 14(4): 450-471, 2012

A noxious agents information system with state-wide participation of the public health service. Methods of Information in Medicine 33(2): 237-242, 1994

Physician Participation in Meaningful Use and Quality of Care for Medicare Fee-for-Service Enrollees. Journal of the American Geriatrics Society 65(3): 608-613, 2017

Meaningful public participation in the planning and management of publicly owned forests. Forestry chronicle 67(2): 125-130, 1992

Meaningful public participation in the planning and management of publicly owned forests. The Forestry Chronicle 67(2): 125-130, 1991

Limitation on Federal participation for capital expenditures; policy notice. Public Health Service. Interpretive ruling. Federal Register 47(33): 7230-7230, 1982