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Public participation in the process of local public health policy, using policy network analysis.

Park Y, Kim CY, You MS, Lee KS, Park E - J Prev Med Public Health (2014)

Bottom Line: In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made.In the implementation process, the program was led by the health center, while other actors participated passively.In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea.

ABSTRACT

Objectives: To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs.

Methods: We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts ('gu's) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer.

Results: The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively.

Conclusions: Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

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Related in: MedlinePlus

Network of the policy-implementation process for the metabolic syndrome management program. (A) District A and (B) district B.
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f2-jpmph-47-6-298: Network of the policy-implementation process for the metabolic syndrome management program. (A) District A and (B) district B.

Mentions: The metabolic syndrome management program in district A was centered on the health center as a complete star shape. In looking at the figure, the health center formed one-on-one associations with individual agencies and groups, which did not continue on to further connections and only isolated associations were added (Figure 2).


Public participation in the process of local public health policy, using policy network analysis.

Park Y, Kim CY, You MS, Lee KS, Park E - J Prev Med Public Health (2014)

Network of the policy-implementation process for the metabolic syndrome management program. (A) District A and (B) district B.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263003&req=5

f2-jpmph-47-6-298: Network of the policy-implementation process for the metabolic syndrome management program. (A) District A and (B) district B.
Mentions: The metabolic syndrome management program in district A was centered on the health center as a complete star shape. In looking at the figure, the health center formed one-on-one associations with individual agencies and groups, which did not continue on to further connections and only isolated associations were added (Figure 2).

Bottom Line: In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made.In the implementation process, the program was led by the health center, while other actors participated passively.In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea.

ABSTRACT

Objectives: To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs.

Methods: We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts ('gu's) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer.

Results: The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively.

Conclusions: Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

Show MeSH
Related in: MedlinePlus