By Written by Elke Jakubowski and Graham Lister with contributions from Regina Skavron
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Additional resources for Ninth futures forum on health systems governance and public participation Amsterdam, The Netherlands, 10–11 October 2005
2 Creating the right prerequisites for participation The Futures Forum participants agreed that three factors are most important in creating the right preconditions in health systems governance and policy-making for participation. The ﬁrst is the quality of health education and information, the second is transparency and the third is health system design. Health education and information are needed since eﬀective participation requires the health literacy of consumers. More progressive social marketing and education on health issues, use of the mass media and other ways of communicating information can support this.
Taking a decision diﬀering from the preference of the majority of the population may be necessary: for example, to control costs. In such cases, participation is nevertheless valuable, but ensuring transparency in the decision-making process and explaining the process of consultation and the impact it had on the decisionmaking process are vital. Wide-ranging participation seems to be preferable, but the opportunity to engage with health policy in an open and transparent way is helpful even if not all those invited actually become involved and even when other considerations overturn popular preferences.
Wide-ranging participation seems to be preferable, but the opportunity to engage with health policy in an open and transparent way is helpful even if not all those invited actually become involved and even when other considerations overturn popular preferences. 28 Experience of countries Summary in strengthening and Conclusions public participation 5. 1 Deﬁning what comprises good governance in public participation Good governance and public participation are intertwined. The deﬁnition of good governance entails a participatory process, responsiveness of governing institutions to the views and preferences of consumers and a consensus orientation.