Giurie dei cittadini: Coinvolgere e deliberare nell'interesse pubblico: Anche l'Italia è un paese di giurie dei cittadini

Translated title of the contribution: Citizens juries: Involving others and deliberating in the public's interest. Italy, too, is a country with citizens juries

Paola Mosconi, Roberto Satolli, Anna Roberto, Carlo Castellani, Cinzia Colombo

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: To tackle the increasing medicalization of society, healthcare decisions that have consequences on the general population should be shared with citizens. Citizens juries are a method of deliberative democracy, asking citizens to deliberate on issues with consequences on society from the public interest's point of view. Methods: Citizens juries follow specific steps in carrying out their role: definition of a question for the jury, selection of jurors, production of information material, selection of experts, meeting with experts, discussion among the jurors, deliberation, and dissemination. Four citizens juries were organized from 2012 to 2014 on prostate cancer screening and on carrier screening for cystic fibrosis. The projects' aims were to consult citizens on the topics and to better define the jury method. Results: Citizens juries' deliberations: "Should the NHS discourage or recommend Prostate-specific antigen (PSA) as an individual screening test for prostate cancer in men 55-69 years old?" All except three of the jurors decided that the National Health Service should discourage it. "Should the Health Service organize screening of the population with the aim to identify healthy people who may have children with Cystic Fibrosis (CF)?". All the three juries stated they felt positive about the Health Service's providing population carrier screening for cystic fibrosis, one of which unanimously, two by majority vote. Regarding the methods, the organizing group discussed some crucial issues to be considered. Discussion: Transparency and inclusiveness are the main criteria for a citizens jury. The information provided must be balanced and clear, the roles of involved parties must be clear, and all the points of view need to be included in the discussion. The selection of jurors must be aimed at including the widest range of experiences. The expected impact of the deliberation must be defined and planned from the beginning. When an institutional assignment is missing, it is important to involve all the stakeholders in order to disseminate the deliberation.

Translated title of the contributionCitizens juries: Involving others and deliberating in the public's interest. Italy, too, is a country with citizens juries
Original languageItalian
Pages (from-to)149-158
Number of pages10
JournalRicerca e Pratica
Volume31
Issue number4
Publication statusPublished - Jul 1 2015

ASJC Scopus subject areas

  • Medicine(all)

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