Participatory budgeting and health and wellbeing: a systematic scoping review of evaluations and outcomes

摘要: Abstract Background Participatory budgeting enables communities to decide how public funds are spent, with citizens deliberating among themselves and sometimes government officials, ultimately deciding allocate for goods. This process has been increasingly implemented across the UK, Europe, worldwide is endorsed as good practice by institutions including World Bank UN. It unclear which evaluations have conducted on impact of participatory health wellbeing. scoping review assessed study design, analysis, outcomes measured, location evaluation studies reporting health, social, political, or economic budgeting. Methods We searched 21 databases (appendix), no restrictions publication date language. The search term "participatory budget" was used relevant global label intervention interest. Studies were included if they reported primary data original analysis budgetary Two reviewers independently screened 10% references extracted from 20% studies. Findings narratively. From 1277 identified references, 34 included: most (n=23) evaluated in Latin America, but six Europe. Health social outcomes, infant mortality, poverty rates, education, access sanitation, examined five quantitative observational population-level data. Most case (n=21) conducting ethnography surveys, focusing political such involvement impacts activities. One randomised controlled trial, seven studies, impacts; tax revenue, municipal spending care, housing. Interpretation applied systematic, transparent methods found that, despite increasing interest budgeting, applying robust analyse wellbeing scarce, particularly beyond Brazil. Therefore, implementation schemes should be accompanied rigorous qualitative identify processes realised. There considerable scope research contribute evaluating reference two policy agendas, democratic innovation justice. Funding What Works Scotland (ESRC ES/M003922/1 Scottish Government). MC PC supported Medical Research Council (MC_UU_12017-15).