Approaches to optimize patient and family engagement in hospital planning and improvement: Qualitative interviews
Medicine (General)
patient engagement
Health Personnel
Hospitals
3. Good health
03 medical and health sciences
R5-920
Hospital Planning
Humans
hospital planning
patient participation
Public aspects of medicine
RA1-1270
Patient Participation
hospitals
0305 other medical science
Original Research Papers
Referral and Consultation
qualitative research
Qualitative Research
patient‐centred care
DOI:
10.1111/hex.13239
Publication Date:
2021-03-24T16:39:56Z
AUTHORS (7)
ABSTRACT
AbstractBackgroundPatient engagement (PE) in health‐care planning and improvement is a growing practice. We lack evidence‐based guidance for PE, particularly in hospital settings. This study explored how to optimize PE in hospitals.MethodsThis study was based on qualitative interviews with individuals in various roles at hospitals with high PE capacity. We asked how patients were engaged, rationale for approaches chosen and solutions for key challenges. We identified themes using content analysis.ResultsParticipants included 40 patient/family advisors, PE managers, clinicians and executives from 9 hospitals (2 < 100 beds, 4 100 + beds, 3 teaching). Hospitals most frequently employed collaboration (standing committees, project teams), followed by blended approaches (collaboration + consultation), and then consultation (surveys, interviews). Those using collaboration emphasized integrating perspectives into decisions; those using consultation emphasized capturing diverse perspectives. Strategies to support engagement included engaging diverse patients, prioritizing what benefits many, matching patients to projects, training patients and health‐care workers, involving a critical volume of patients, requiring at least one patient for quorum, asking involved patients to review outputs, linking PE with the Board of Directors and championing PE by managers, staff and committee/team chairs.ConclusionThis research generated insight on concrete approaches and strategies that hospitals can use to optimize PE for planning and improvement. On‐going research is needed to understand how to recruit diverse patients and best balance blended consultation/collaboration approaches.Patient or public contributionThree patient research partners with hospital PE experience informed study objectives and interview questions.
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