Perspectives of cancer consumer representatives on their involvement in healthcare service improvement: a qualitative study.


Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
31 Oct 2024
Historique:
received: 17 11 2023
accepted: 27 09 2024
medline: 1 11 2024
pubmed: 1 11 2024
entrez: 1 11 2024
Statut: epublish

Résumé

Consumer involvement in healthcare service organisation and policy development is recognised globally as a vital strategy in improving the quality and patient-centredness of care. There are significant gaps in knowledge about consumer involvement in practice, including consumers' engagement in the process of enhancing cancer services. This study aimed to explore consumers' perspectives on their involvement in cancer service improvement. Cancer consumer representatives were recruited through Victorian Integrated Cancer Services, Australia. Eligible consumers were, or had been, a member of a health service improvement-related committee or project and attended at least one meeting with health professionals. Semi-structured qualitative interviews were conducted online and transcribed verbatim. Data were analysed using inductive thematic analysis. Six experienced consumer representatives were interviewed. Perspectives on their involvement in improving cancer services were categorised into three major topics. The first addressed personal aspects of involvement, in which participants described personal motivations (e.g., having lived experience of cancer themselves or in their family), challenges encountered in committee involvement, experiences of received support in their role as a consumer representative, concerns about narrow representation, and their evolving identity as a consumer representative. The second discussed practical contributions made by consumer representatives to improve systems and services. Participants detailed their active engagement with committees and consumer-led projects, contributing both their cancer experiences and general or professional skills. The third topic focused on directions for improving consumer involvement in the health system. Suggestions highlighted widening consumer representation to include often marginalised voices to inform decision-making at local committee and health system levels. This study enhances the real-world understanding of the role that consumer representatives play in improving cancer health services. The strategies suggested in our research provide the opportunity to enhance consumer involvement and pave the way for more effective cancer service planning and implementation across diverse healthcare settings.

Sections du résumé

BACKGROUND BACKGROUND
Consumer involvement in healthcare service organisation and policy development is recognised globally as a vital strategy in improving the quality and patient-centredness of care. There are significant gaps in knowledge about consumer involvement in practice, including consumers' engagement in the process of enhancing cancer services. This study aimed to explore consumers' perspectives on their involvement in cancer service improvement.
METHODS METHODS
Cancer consumer representatives were recruited through Victorian Integrated Cancer Services, Australia. Eligible consumers were, or had been, a member of a health service improvement-related committee or project and attended at least one meeting with health professionals. Semi-structured qualitative interviews were conducted online and transcribed verbatim. Data were analysed using inductive thematic analysis.
RESULTS RESULTS
Six experienced consumer representatives were interviewed. Perspectives on their involvement in improving cancer services were categorised into three major topics. The first addressed personal aspects of involvement, in which participants described personal motivations (e.g., having lived experience of cancer themselves or in their family), challenges encountered in committee involvement, experiences of received support in their role as a consumer representative, concerns about narrow representation, and their evolving identity as a consumer representative. The second discussed practical contributions made by consumer representatives to improve systems and services. Participants detailed their active engagement with committees and consumer-led projects, contributing both their cancer experiences and general or professional skills. The third topic focused on directions for improving consumer involvement in the health system. Suggestions highlighted widening consumer representation to include often marginalised voices to inform decision-making at local committee and health system levels.
CONCLUSIONS CONCLUSIONS
This study enhances the real-world understanding of the role that consumer representatives play in improving cancer health services. The strategies suggested in our research provide the opportunity to enhance consumer involvement and pave the way for more effective cancer service planning and implementation across diverse healthcare settings.

Identifiants

pubmed: 39482689
doi: 10.1186/s12913-024-11669-7
pii: 10.1186/s12913-024-11669-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1324

Subventions

Organisme : NHMRC Centre for Research Excellence in Implementation Science in Oncology
ID : 1135048
Organisme : NHMRC Centre for Research Excellence in Implementation Science in Oncology
ID : 1135048
Organisme : NHMRC Centre for Research Excellence in Implementation Science in Oncology
ID : 1135048
Organisme : NHMRC Partnership Centre of Health System Sustainability
ID : 9100002

Informations de copyright

© 2024. The Author(s).

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Auteurs

Dan Luo (D)

Australian Institute of Health Innovation, Faculty of Medicine, Health & Human Sciences, Macquarie University, Sydney, NSW, Australia.

Jane McGlashan (J)

Australian Institute of Health Innovation, Faculty of Medicine, Health & Human Sciences, Macquarie University, Sydney, NSW, Australia.

Klay Lamprell (K)

Australian Institute of Health Innovation, Faculty of Medicine, Health & Human Sciences, Macquarie University, Sydney, NSW, Australia.

Gaston Arnolda (G)

Australian Institute of Health Innovation, Faculty of Medicine, Health & Human Sciences, Macquarie University, Sydney, NSW, Australia.

Jeffrey Braithwaite (J)

Australian Institute of Health Innovation, Faculty of Medicine, Health & Human Sciences, Macquarie University, Sydney, NSW, Australia.

Yvonne Zurynski (Y)

Australian Institute of Health Innovation, Faculty of Medicine, Health & Human Sciences, Macquarie University, Sydney, NSW, Australia. yvonne.zurynski@mq.edu.au.

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