Health Systems and Policy Research

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Challenges of Client Participation in the Co-Development of Social and Health Care Services by Management of Interactional Agenda

Ronen Bates*

Client involvement may be defined more broadly as the client's right to participate in the design and development of social and health care services. It is not just about choosing one's own course of treatment. In this essay, we look at participants' rights to influence and control what happens in workshops where clients and social and healthcare professionals collaborate to create the social and healthcare services that their municipality offers. We investigate the interconnectedness of the participants' rights to control interaction in the encounter (proximal deontic rights) and their right to decide about future actions that may have concrete health consequences for them. We do this by using conversation analysis as a method. stating that it is the distal deontic rights of the clients We inquire as to the amount to which the clients' distal deontic rights are supported and restricted by who has the proximal deontic rights in the circumstance, which underlies the motivation and legitimacy for their involvement in the co-development workshops. There are both in-person and online workshops included in the data collection. Our data demonstrates that professional agenda management in the face-to-face workshops entailed command over both proximal and distal activity. The experts in the online sessions appeared to have technological issues that briefly impeded the flow of dialogue.

Keywords: Agenda management; Client participation; Conversation analysis; Online interaction; Co-development; Social and health care services; Deontic rights

Published Date: 2022-11-30; Received Date: 2022-11-03