Patient and public involvement in medical performance processes: A systematic review.
medical performance
patient involvement
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
20
07
2018
revised:
15
10
2018
accepted:
07
11
2018
pubmed:
15
12
2018
medline:
11
8
2020
entrez:
15
12
2018
Statut:
ppublish
Résumé
Patient and public involvement (PPI) continues to develop as a central policy agenda in health care. The patient voice is seen as relevant, informative and can drive service improvement. However, critical exploration of PPI's role within monitoring and informing medical performance processes remains limited. To explore and evaluate the contribution of PPI in medical performance processes to understand its extent, purpose and process. The electronic databases PubMed, PsycINFO and Google Scholar were systematically searched for studies published between 2004 and 2018. Studies involving doctors and patients and all forms of patient input (eg, patient feedback) associated with medical performance were included. Using an inductive approach to analysis and synthesis, a coding framework was developed which was structured around three key themes: issues that shape PPI in medical performance processes; mechanisms for PPI; and the potential impacts of PPI on medical performance processes. From 4772 studies, 48 articles (from 10 countries) met the inclusion criteria. Findings suggest that the extent of PPI in medical performance processes globally is highly variable and is primarily achieved through providing patient feedback or complaints. The emerging evidence suggests that PPI can encourage improvements in the quality of patient care, enable professional development and promote professionalism. Developing more innovative methods of PPI beyond patient feedback and complaints may help revolutionize the practice of PPI into a collaborative partnership, facilitating the development of proactive relationships between the medical profession, patients and the public.
Sections du résumé
BACKGROUND
Patient and public involvement (PPI) continues to develop as a central policy agenda in health care. The patient voice is seen as relevant, informative and can drive service improvement. However, critical exploration of PPI's role within monitoring and informing medical performance processes remains limited.
OBJECTIVE
To explore and evaluate the contribution of PPI in medical performance processes to understand its extent, purpose and process.
SEARCH STRATEGY
The electronic databases PubMed, PsycINFO and Google Scholar were systematically searched for studies published between 2004 and 2018.
INCLUSION CRITERIA
Studies involving doctors and patients and all forms of patient input (eg, patient feedback) associated with medical performance were included.
DATA EXTRACTION AND SYNTHESIS
Using an inductive approach to analysis and synthesis, a coding framework was developed which was structured around three key themes: issues that shape PPI in medical performance processes; mechanisms for PPI; and the potential impacts of PPI on medical performance processes.
MAIN RESULTS
From 4772 studies, 48 articles (from 10 countries) met the inclusion criteria. Findings suggest that the extent of PPI in medical performance processes globally is highly variable and is primarily achieved through providing patient feedback or complaints. The emerging evidence suggests that PPI can encourage improvements in the quality of patient care, enable professional development and promote professionalism.
DISCUSSION AND CONCLUSIONS
Developing more innovative methods of PPI beyond patient feedback and complaints may help revolutionize the practice of PPI into a collaborative partnership, facilitating the development of proactive relationships between the medical profession, patients and the public.
Identifiants
pubmed: 30548359
doi: 10.1111/hex.12852
pmc: PMC6433319
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
149-161Subventions
Organisme : Department of Health
ID : CDF-2011-04-004
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_U123160651
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00024/1
Pays : United Kingdom
Organisme : General Medical Council United Kingdom
ID : GMC152
Pays : International
Informations de copyright
© 2018 The Authors Health Expectations published by John Wiley & Sons Ltd.
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