The purpose of this study was to analyse the health systems in Spain, Italy and Portugal from the perspective of the Southern European countries Social Protection. Through a review of the sanitary regulations, health plans and literature on specific health experiences, published in recent years in Spain, Italy and Portugal, the practices of participation, in these three countries, were studied. Some of the research results are noteworthy: a) Citizens’ participation in the decision making process on health has become the focus of attention of the public policies only after the 1990; b) there has been a significant progress in the regulatory framework and in the acknowledgement of users’ rights; c) the development and implementation of participatory mechanisms were insufficient and limited to certain regions.
Keywords: Welfare state, health systems, processes of reform of health systems, participation of citizens, Spain, Italy, Portugal.
Mauro Serapioni, Sesma Dolores, Ferreira Pedro Lopes, Citizens participation in South European countries health systems: Italy, Portugal and Spain in "SALUTE E SOCIETÀ" 1/2012, pp. 249-279, DOI:10.3280/SES2012-001018