ArticleHealth expectations : an international journal of public participation in health care and health policy2020
Communities, health-care organizations and the contingencies and contradictions of engagement: A case study from Chile.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Towards a more ambitious mental health agenda for Scotland.PLOS mental health · 2025Article
- Communities, health-care organizations and the contingencies and contradictions of engagement: A case study from Chile.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Decision-Making Dilemmas within Integrated Care Service Networks: A Systematic Literature Review.International journal of integrated careArticle
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Authors and funding
2 authors.
Funding
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Abstract
contextDespite a growing interest in service-user involvement in mental health services, the interaction between health institutions and local groups is only beginning to receive attention, particularly in global south settings.
objectiveLooking at a participatory initiative in Chile, this study explores how, under unfavourable administrative conditions, health organizations approach and work with communities.
methodsWe interviewed policy-makers (5), local professionals (10), service users and community representatives (6) linked to a concrete participatory initiative. Participant observation in relevant meetings helped to enrich the interpretations. Thematic analysis was applied to interview transcripts and field notes.
findingsThe findings present a sequence of actions starting with the creation of a network of community-based groups. A set of problems ensued, related to the group's diversity, internal representation, decision-making and funding processes. In response, processionals implemented simultaneously bureaucratic and democratic adjustments, developing a vision of community that ignored the particularities-including the motivations-of local groups. DISCUSSION AND
conclusionBased on these findings, we argue that participatory initiatives should be studied as on-going achievements shaped by broad policy orientations and local configurations of interest. In the process, they produce ad hoc forms of knowledge and visions of community that provide orientation to the agents involved.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.