A qualitative study exploring how patient engagement activities were sustained or adapted in Canadian healthcare organizations during the COVID-19 pandemic.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 07 10 2022
accepted: 26 02 2023
entrez: 17 3 2023
pubmed: 18 3 2023
medline: 22 3 2023
Statut: epublish

Résumé

The COVID-19 pandemic caused disruptions across healthcare systems globally exposing the precarious state of patient engagement across all levels of healthcare. While evidence is emerging to describe how engagement was affected across various settings, insights about how some organizations at the policy and practice level of healthcare were able to sustain or adapt patient engagement activities is lacking. This paper addresses the following research question: "How were healthcare, government, and patient partner organizations able to sustain or adapt patient engagement activities during the COVID-19 pandemic?" A qualitative descriptive study was conducted to understand how patient engagement activities were maintained or adapted in a variety of healthcare, government, and patient partner organizations in Canada throughout the pandemic. This analysis was part of a larger qualitative, multiple case study where one-to-one interviews were conducted with organizational leaders, managers and patient partners. The following themes were identified as key aspects of maintaining or adapting patient engagement activities: 1) having an embedded organizational culture of patient engagement; 2) adapting patient engagement activities to focus on COVID-19 response efforts; 3) having patient partners who exercised leadership and advocacy to support patient care and experiences during the pandemic; and 4) leveraging virtual technology as a communication tool to engage patient partners. This paper highlights important insights that may be useful to other health care organizations on how to sustain or adapt patient engagement activities during a healthcare crisis. Having patient engagement embedded within an organization's culture supported by, but not limited to, infrastructure, resources, investments in dedicated staff and patient partner leadership, and communication strategies and tools enabled continued patient engagement activities during the pandemic.

Sections du résumé

BACKGROUND
The COVID-19 pandemic caused disruptions across healthcare systems globally exposing the precarious state of patient engagement across all levels of healthcare. While evidence is emerging to describe how engagement was affected across various settings, insights about how some organizations at the policy and practice level of healthcare were able to sustain or adapt patient engagement activities is lacking.
OBJECTIVE
This paper addresses the following research question: "How were healthcare, government, and patient partner organizations able to sustain or adapt patient engagement activities during the COVID-19 pandemic?"
METHODS
A qualitative descriptive study was conducted to understand how patient engagement activities were maintained or adapted in a variety of healthcare, government, and patient partner organizations in Canada throughout the pandemic. This analysis was part of a larger qualitative, multiple case study where one-to-one interviews were conducted with organizational leaders, managers and patient partners.
RESULTS
The following themes were identified as key aspects of maintaining or adapting patient engagement activities: 1) having an embedded organizational culture of patient engagement; 2) adapting patient engagement activities to focus on COVID-19 response efforts; 3) having patient partners who exercised leadership and advocacy to support patient care and experiences during the pandemic; and 4) leveraging virtual technology as a communication tool to engage patient partners.
CONCLUSION
This paper highlights important insights that may be useful to other health care organizations on how to sustain or adapt patient engagement activities during a healthcare crisis. Having patient engagement embedded within an organization's culture supported by, but not limited to, infrastructure, resources, investments in dedicated staff and patient partner leadership, and communication strategies and tools enabled continued patient engagement activities during the pandemic.

Identifiants

pubmed: 36928262
doi: 10.1371/journal.pone.0282890
pii: PONE-D-22-27751
pmc: PMC10019689
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0282890

Informations de copyright

Copyright: © 2023 Marcinow et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Healthc Q. 2018 Dec;21(SP):45-49
pubmed: 30566403
BMJ. 2021 Nov 4;375:n2695
pubmed: 34737203
BMJ Open. 2021 Oct 18;11(10):e047012
pubmed: 34663652
Cureus. 2021 May 3;13(5):e14814
pubmed: 34094768
Qual Manag Health Care. 2020 Jul/Sep;29(3):176-177
pubmed: 32590495
BMJ. 2020 Oct 27;371:m4082
pubmed: 33109512
Clin Med (Lond). 2020 Sep;20(5):e141-e145
pubmed: 32788160
Prev Med. 2021 Jul;148:106564
pubmed: 33878351
CMAJ. 2020 May 11;192(19):E497-E505
pubmed: 32269018
PLoS One. 2021 Sep 29;16(9):e0257880
pubmed: 34587175
Acad Med. 2014 Sep;89(9):1245-51
pubmed: 24979285
Healthc Q. 2018 Dec;21(SP):12-30
pubmed: 30566400
Health Expect. 2022 Apr;25(2):744-753
pubmed: 35023267
J Am Board Fam Med. 2021 Feb;34(Suppl):S37-S39
pubmed: 33622816
JAMA. 2020 Apr 21;323(15):1516
pubmed: 32196079
CMAJ. 2021 Jul 12;193(27):E1048-E1049
pubmed: 34253547
BMJ. 2020 Jul 1;370:m2575
pubmed: 32611571
Health Expect. 2022 Oct;25(5):2365-2376
pubmed: 35593113
Health Expect. 2021 Apr;24(2):175-181
pubmed: 33340393

Auteurs

Michelle Marcinow (M)

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Jane Sandercock (J)

Faculty of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.

Lauren Cadel (L)

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.
Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.

Harprit Singh (H)

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.

Sara J T Guilcher (SJT)

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.

Penny Dowedoff (P)

British Columbia's Office of Human Rights Commissioner, Vancouver, British Columbia, Canada, British.

Alies Maybee (A)

Independent Patient Partner, Vancouver, Canada.

Susan Law (S)

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Carol Fancott (C)

Patient Engagement & Partnerships, Health Excellence Canada, Ottawa, Ontario, Canada.

Kerry Kuluski (K)

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

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