There is growing agreement that health research funders should align their investments with national priorities that promote health equity, but clear guidance for equity-oriented research priority-setting remains lacking. This article argues that achieving health equity through research requires “deep inclusion” of non-elite stakeholders in decision-making processes. Drawing from deliberative democracy and development ethics, the authors propose a model of deep inclusion with three dimensions: breadth (wide stakeholder representation), qualitative equality (equal respect for all voices), and high-quality participation (meaningful involvement of non-elites throughout the process). Using health systems research as an example, the paper illustrates how this model can guide more just and inclusive national research priority-setting, while acknowledging practical challenges to implementation.
- April 9, 2016
- Bridget Pratt, Maria Merritt, Adnan A. Hyder
- Article