BACKGROUND AND CONTEXT Many countries are giving patients a more active role in health care, on both the individual and collective level. This study focuses on one aspect of the participation agenda on the individual level: self-management. The study explores self-management in practice, including the implications of the difficulties encountered. OBJECTIVE To gain insight into the complexity ...

this article contends that legitimacy in the exercise of power comes from the consent of those subject to it. in global health, this implies that the participation of poor country citizens is required for the legitimacy of major actors and institutions. but a review of institutions and processes suggests that this participation is limited or absent. particularly because of the complex political...