Serapioni Mauro
Centro de Estudos Sociais, Universidade de Coimbra, Coimbra, Portugal,
Cien Saude Colet. 2014 Dec;19(12):4829-39. doi: 10.1590/1413-812320141912.02292013.
The themes of citizen participation and citizenship have assumed great relevance in public policy in most countries of the world. In this article, after briefly summarizing the main stages of development of the concept of citizenship, the prominence of social participation as a practice of citizenship will be depicted. Next, the potential and limits of deliberative approaches established to promote new strategies of citizens' participation in health will be analyzed. The paper will then focus on critical aspects that contribute to reducing or hindering the exercise of citizenship rights, including: the issue of representation underpinning the citizen participation methods; the issue of the influence of participatory devices in decision-making processes; and the limited experience and interest in assessing the effectiveness of citizen participation in the health sector.
公民参与和公民身份的主题在世界上大多数国家的公共政策中已具有重大意义。在本文中，在简要概述公民身份概念发展的主要阶段之后，将描述社会参与作为公民身份实践的突出地位。接下来，将分析为促进公民参与健康的新策略而确立的审议方法的潜力和局限性。然后，本文将关注导致公民权利行使减少或受阻的关键方面，包括：支撑公民参与方法的代表性问题；参与手段在决策过程中的影响问题；以及在评估公民参与卫生部门有效性方面有限的经验和兴趣。
