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IJE Advance Access originally published online on May 20, 2004
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International Journal of Epidemiology, Volume 33, Number 3, pp. 506-507
IJE vol.33 no.3 © International Epidemiological Association 2004; all rights reserved.

Article

Commentary: The people know best

Michael Calnan

Department of Social Medicine, University of Bristol, Canynge Hall, Bristol BS8 2PR, UK. E-mail: M.W.Calnan@bristol.ac.uk

The first 10% of the full text of this article appears below.

One trend which has characterized health policy in the western world over the last decade or so is an attempt to shift away from expert dominated, ‘top-down’ policy towards ‘bottom-up’ policies which aim to articulate and mobilize the interests of individuals and/or populations. One example of this is in public health where traditional legislative, regulatory, or educational policies, prescribed by government and increasingly linked to expert ‘evidence’, have lost popularity. Policies aimed at community empowerment where policy development involves a ‘negotiation’ between scientific and lay groups are now in favour. There are a variety of reasons for such a shift in emphasis such as the need for policy to be more accountable and legitimate, to . . . [Full Text of this Article]


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