This research report was produced by an inter-university and multi-disciplinary team. The discourse analysis includes insights drawn from discourse theory analysis and critical discourse analysis. These are combined with philosophical, ethical and socio-scientific insights on healthcare and deliberation. The process of analysis was carried out on the basis of transcripts and observations recorded during the Citizenlab in the autumn of 2014.
The discourse analysis shows that the participants are in favour of a patient-focused, holistic approach to care. In this approach the patient is the focal point, patient autonomy is respected and the interests of those close to the patient are taken into account. This shows that the discourse presented by the participants in the Citizenlab is closely aligned with general trends in society in terms of a changing concept of health and the autonomy of the patient. Nevertheless, the idea of taking into account those close to the patient in a reimbursement strategy, although views are changing along these lines in society as a whole, still represents a remarkable and authentic contribution that has come from the Citizenlab.
The demand-driven decision-making system favoured by the participants is based on the patient's interests, placing these above the interests of providers of medical treatments whenever these would run counter to the interests of patients or those of society. Such a system makes it possible to ensure, through patient and citizen participation, that more subjective knowledge and experience is included in the process, always considering the person as a whole.
Visit this publication (French version) on the King Baudouin Foundation website