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KMID : 1146320140020010019
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Journal of Health Technology Assessment
2014 Volume.2 No. 1 p.19 ~ p.25
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Citizen Participation in the Healthcare Decision-Making Process: Review of Real Cases
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Suh Hae-Sun
Lee Bo-Ram
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Abstract
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Objectives: There are increasing needs to involve the public when making the healthcare policy decision worldwide. Several countries already adopted the citizen engagement process when they make healthcare policy decision. We intend to examine and review the real cases of citizen participation in the healthcare decision-making process.
Methods: A computerized literature search was conducted in six electronic databases (KoreaMed, KMbase, KISS, PRISM, PubMed, and the Cochrane library) to identify the cases of citizen participation in the healthcare decision-making process not only in other countries but also in Korea. After we identified the real cases for foreign countries, we visited the website of each institution in the UK, Canada, Brazil, etc. to examine the purpose and methods of citizen participation, definition of citizen, organization and management of citizens’ council, discussed topics, and the way to reflect in the healthcare decision.
Results: We have found several cases of citizen participation in Korea which occurred recently. Six foreign countries such as the UK, Canada, Brazil, Sweden, New Zealand, and Israel had a citizen participation process. Especially, the UK and Canada had a well-made and structured citizens’ council system. The National Institute for Health and Clinical Excellence (NICE) in the UK started the citizens’ council system from year 2002 until now. Canada started the citizen participation process from 2002 with the name of Commission for future of health care in Canada which lasted for two years. Toronto Health Policy Citizens’ Council was formed in 2007 to discuss the priority setting in health care research, which was the preparation work to make Ontario citizens’ council in 2009. Ontario citizens’ council is similar to citizens’ council at NICE.
Conclusion: The real cases and experiences in the UK and Canada might provide valuable insight and implications to establish the citizen participation process in Korea.
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KEYWORD
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Consumer participation, Insurance, Health, Reimbursement, Decision making
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