Publics, Patients, Citizens, Consumers? Power and Decision making in Primary Health Care

Callaghan, G.; Wistow, G.

doi:10.1111/j.1467-9299.2006.00603.x

Publics, Patients, Citizens, Consumers? Power and Decision making in Primary Health Care

Callaghan, G.; Wistow, G.

Authors

G. Callaghan

G. Wistow

Abstract

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.

Citation

Callaghan, G., & Wistow, G. (2006). Publics, Patients, Citizens, Consumers? Power and Decision making in Primary Health Care. Public Administration, 84(3), 583-601. https://doi.org/10.1111/j.1467-9299.2006.00603.x

Journal Article Type	Article
Publication Date	2006-08
Deposit Date	Aug 7, 2008
Publicly Available Date	Aug 7, 2008
Journal	Public Administration
Print ISSN	0033-3298
Electronic ISSN	1467-9299
Publisher	Wiley
Peer Reviewed	Peer Reviewed
Volume	84
Issue	3
Pages	583-601
DOI	https://doi.org/10.1111/j.1467-9299.2006.00603.x
Publisher URL	http://www.blackwell-synergy.com/doi/abs/10.1111/j.1467-9299.2006.00603.x