Research Article

Cross-Country Study of Institutionalizing Social Participation in Health Policymaking: A Realist Analysis

Table 5

CMIO of selected countries.

CountryCMIO

Thailand [8, 11, 20]Raising public voice in health policy (O) paradigm shift in health definition, dialogue space, political will & commitment, trust (C) PHA & NHA (M) supportive legislation, expanding CSOs networks, developing required structures, public representatives in decision-making committees (I)
Iran [8, 2126]Creating socialization of health dialogue in policymaking space(O) health inequality, health transformation plan, political will (C) PHA & NHA (M) establishing deputy for social affairs in MoHME (I)
Chile [2739]Raising patient voice in health service &strengthening monitoring of implementation of health policies (O) mobilization of popular classes, biopsychosocial approach in primary healthcare (C) civil society & citizen councils, campaigns, physical and online offices(M) legislation on the rights and duties of patients, strengthening of civil society (I)
France [8, 4045]Raising patient (recently: public) voice in health service (O) civil society activism, dialogue space, political will & commitment, trust (C) CRSA & CNS (M) supportive legislation, creating required structures, patient representatives in decision- making committees (I)
Tunisia [8, 4654]White book for better health in Tunisia (O): social dialogue space (C) regional meetings & national conference (M)right to health in constitution, citizen juries (I)

MoHME: Ministry of Health and Medical Education. CMIO: context, mechanisms, interventions, outcome, PHA: province health assembly, NHA: National Health Assembly, CRSA: conférence régionale de Santé et de l’autonomie, CNS: conférence nationale de Santé, MoHME: Ministry of Health and Medical Education, CSO: civil society organization.