Work

Healthcare cultures and the implementation of WHA77.2: from measurement to institutional change

Year: 2026

Type: preprint

Abstract: Resolution WHA77.2 establishes an unprecedented mandate for meaningful social participation in health decision-making. The resolution, and the operational guidance that preceded it, already address representation, power, deliberation, feedback, policy influence, and evaluation. Implementation therefore raises a question that further measures alone cannot settle: how participatory knowledge can come to shape the routine organization of healthcare. Building on recent proposals for assessing co-design, we recommend that implementation extend from the participatory space into the healthcare cultures that incorporate its recommendations. These cultures shape which needs become institutionally legible, whose knowledge carries authority, and which responses are delivered. Participation becomes transformative when it reshapes these arrangements. This perspective expands the current measurement framework by linking participatory integrity and decision uptake to cultural enactment in routine care.

Source: Zenodo (CERN European Organization for Nuclear Research)

DOI: 10.5281/zenodo.22127160

Authors: Martínez-Hernáez, Ángel, Ortega, Francisco, Quaranta, Ivo, Hansen, Helena

Institutions: Universitat Rovira i Virgili, Institució Catalana de Recerca i Estudis Avançats, University of Bologna, University of California, Los Angeles

Language: English

Topic: Mental Health and Patient Involvement

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7204443521

Cites:

Cited by:

Related to: