Community participation and social control in the health system

Revista de salud pública
Decsi Astrid Arévalo

Abstract

In Colombia, the 1991 Constitution established the obligation of promoting social participation. However, the discussion regarding the significance and scope of social participation is far from being over with the promulgation of the Constitution since social participation has a high political component, i.e., social participation requires the transfer of a part of power to sectors previously excluded from decision taking. As long as the State has conceived the market strategy as the best way to allocate resources and the receptors of social policy are considered as consumers, the challenge is to establish a balance between supply and demand in order to guarantee efficiency and efficacy in the application of resources and transparency in the public administration. Thus, the community of users has the mission of monitoring the correct allocation of State resources. Upon evaluating some of the results of the application of this strategy of social participation in health, three features can be highlighted: there are important advances in the promotion of social participation but not in social control; social control is dispersed and atomized, and participation as institutional policy is weak. Regarding the first aspect, it can be ...Continue Reading

Citations

Jan 31, 2009·Cadernos de saúde pública·María Eugenia Delgado-Gallego, María Luisa Vázquez

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