Document Detail


Rhetoric or reality? A systematic review of the impact of participatory approaches by UK public health units on health and social outcomes.
MedLine Citation:
PMID:  20194176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There has been a philosophical commitment to participation in public health since the 1970s. UK policy rhetoric on participation in public health has been particularly marked since 1997. It is less clear that participatory approaches have been pursued by UK public health units in practice.
METHODS: A systematic review was undertaken of all studies using any recognized research methodology from 1974 to 2007 reporting on health and social outcomes of participatory approaches by UK public health units. Seventeen electronic databases were searched and inclusion/exclusion criteria and quality appraisal criteria applied.
RESULTS: Five thousand and four hundred and fifty-one references were identified, reduced to 2155 once duplicates were removed. Only eight papers covering seven studies were relevant and included in the analysis. Only two studies met more than half of the relevant quality appraisal criteria. The studies fell into two distinct groups: four used qualitative methods to illustrate the complexities of effective community participation; three claimed success for their participative initiative without providing adequate evidence to substantiate such claims.
CONCLUSIONS: This systematic review demonstrates that there is very little evidence in the peer-reviewed literature of participatory approaches by UK public health units or of such approaches having any noteworthy impact on health and social outcomes.
Authors:
D Evans; P Pilkington; M McEachran
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-03-01
Journal Detail:
Title:  Journal of public health (Oxford, England)     Volume:  32     ISSN:  1741-3850     ISO Abbreviation:  J Public Health (Oxf)     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101188638     Medline TA:  J Public Health (Oxf)     Country:  England    
Other Details:
Languages:  eng     Pagination:  418-26     Citation Subset:  IM    
Affiliation:
School of Health and Social Care, University of the West of England, Bristol, Glenside Campus, Blackberry Hill, Bristol BS16 1DD, UK. david9.evans@uwe.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Consumer Participation / methods*
Great Britain
Humans
Outcome and Process Assessment (Health Care)*
Public Health Practice*
Social Change*
State Medicine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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