caa a22 4500 606170928 CHVBK 20210128100720.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s10728-014-0271-x doi (NATIONALLICENCE)springer-10.1007/s10728-014-0271-x Patient Participation in Hospital Care: How Equal is the Voice of the Client Council? [Elektronische Daten] [Hanneke van der Meide, Gert Olthuis, Carlo Leget] Patient participation in healthcare is highly promoted for democratic reasons. Older patients make up a large part of the hospital population but their voices are less easily heard by most patient participation instruments. The client council can be seen as an important medium to represent the interests of this increasing group of patients. Every Dutch healthcare institution is obliged to have a client council and its rights are legally established. This paper reports on a case study of a client council in a hospital and shows how equality as the core democratic value manifests itself in practice and marginalizes the voices of older patients. Based on the work of Joan Tronto we show that sameness is the driving force behind the functioning of the client council which leads the council to operate as part of the hospital system. Consequently, important aspects of the hospital practice remain out of sight. To be of greater value for all patients we argue that successful patient participation requires not only equal opportunities but also ‘the condition of equal voice'. Springer Science+Business Media New York, 2014 Patient participation nationallicence Healthcare nationallicence Ethics of care nationallicence Client council nationallicence Equality nationallicence van der Meide Hanneke Tilburg University, Warandelaan 2, 5000 LE, Tilburg, The Netherlands aut Olthuis Gert Tilburg University, Warandelaan 2, 5000 LE, Tilburg, The Netherlands aut Leget Carlo University of Humanistic Studies, PO Box 797, 3500 AT, Utrecht, The Netherlands aut Health Care Analysis Springer US; http://www.springer-ny.com 23/3(2015-09-01), 238-252 1065-3058 23:3<238 2015 23 10728 https://doi.org/10.1007/s10728-014-0271-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10728-014-0271-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van der Meide Hanneke Tilburg University, Warandelaan 2, 5000 LE, Tilburg, The Netherlands aut NATIONALLICENCE 700 1- Olthuis Gert Tilburg University, Warandelaan 2, 5000 LE, Tilburg, The Netherlands aut NATIONALLICENCE 700 1- Leget Carlo University of Humanistic Studies, PO Box 797, 3500 AT, Utrecht, The Netherlands aut NATIONALLICENCE 773 0- Health Care Analysis Springer US; http://www.springer-ny.com 23/3(2015-09-01), 238-252 1065-3058 23:3<238 2015 23 10728