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PUBLICS, PATIENTS, CITIZENS, CONSUMERS? POWER AND DECISION MAKING IN PRIMARY HEALTH CARE
Author(s) -
CALLAGHAN GILLIAN. D.,
WISTOW GERALD
Publication year - 2006
Publication title -
public administration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.313
H-Index - 93
eISSN - 1467-9299
pISSN - 0033-3298
DOI - 10.1111/j.1467-9299.2006.00603.x
Subject(s) - conceptualization , habitus , categorization , primary care , power (physics) , public relations , publics , qualitative research , field (mathematics) , sociology , public health , ethnography , political science , politics , epistemology , medicine , social science , nursing , law , family medicine , physics , quantum mechanics , philosophy , mathematics , artificial intelligence , pure mathematics , computer science , anthropology
This article uses theoretical approaches to the discussion of power in order to consider the role of public and patient participation in primary health care organizations in the UK. There is considerable evidence to suggest that, despite major national initiatives to extend participation in health services, the role of participation in decision making remains underdeveloped. The primary purpose of this article is to understand how and why this should be the case. Using findings from qualitative research that explored approaches taken by the dominant professional groups on primary care groups (PCGs) to involving patients and the public, we consider how these approaches reflect the exercise of different forms and levels of power. The explanation combines Lukes’ categorization of three forms of power with Bourdieu’s dynamic conceptualization of the relations of habitus and field. It is argued that the models observed represent different opportunities for the operation of power with implications for the role that participation can play.