Civic Engagement and Civic Infrastructure to Advance Health Equity Proceedings of a Workshop (2023) / Chapter Skim
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Appendix D: Prioritizing Civic Infrastructure Investments to Advance Health Equity: A Mini-Deliberation
Appendix D: Prioritizing Civic Infrastructure Investments to Advance Health Equity: A Mini-Deliberation
Pages 71-76
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From page 71... ...
We dubbed the exercise a "mini-deliberation" because its design incorporated several features of "democratic deliberation," a substantive form of public discussion that seeks practical solutions to collective challenges and is itself a civic engagement strategy.1 This appendix briefly describes the core tenets of democratic deliberation, reports on participants' discussions and priorities, and reflects on the outcomes of the exercise. There is no consensus definition of democratic deliberation, but when one looks across widely cited definitions, several shared elements surface.
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From page 72... ...
to fund a randomized controlled trial of deliberative methods and has centered the experiences of patients, research participants, community members, and ordinary citizens in other ways (e.g., community advisory boards, community-based participatory research, and patient-centered outcomes research) .5 This workshop's deliberative exercise was designed in the spirit of democratic deliberation.
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From page 73... ...
Several rapporteurs noted that in addition to discussing priorities, their groups also talked about the nature of civic infrastructure. What did "government agency coordination" or "education" really mean, and what 6Deliberations typically last longer, often several hours or a full day or several days; however, among the four deliberative methods studied in AHRQ controlled trial, one had a duration of only 2 hours.
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From page 74... ...
The small groups were not primed to address this question, but it is not surprising that it arose. It is a longstanding question in population health policy and in ethics because it raises unresolved questions of fairness and any particular policy's or program's capacity to reduce health inequities.7 The issue of targeting interventions in health equity efforts also raises questions about how to interpret "diversity" and "disadvantage," given that targeting usually involves deciding which areas and which groups to invest in.
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From page 75... ...
Just how a broader swath of Americans would think about priorities for health equity and civic infrastructure is unknown. But it seems a question worth pursuing given the poor state of the nation's overall health and the deep inequities that characterize it.
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