Organising and managing patient and public involvement to enhance quality improvement—Comparing a Swedish and a Dutch hospital
Bibliographic Data
| ID | 21468164 |
|---|---|
| Authors | Carolina Bergerum (0000-0003-1281-7918, Jönköping University, corresponding author), Maria Wolmesjö (0000-0002-8807-0876, University of Borås), Johan Thor (0000-0003-1814-4478, Jönköping University) |
| Year | 2022 |
| Volume | 126 |
| Issue | 7 |
| Pages | 603-612 |
| Publication date | 2022-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy (JOURNAL) |
| Journal identifiers | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2022.04.002 |
| PMID | 35487802 |
| OpenAlex | W4225259684 |
| Language | EN |
| References cited | 41 |
As co-production approaches to quality improvement (QI) gain importance in healthcare, hospital leaders and managers are expected to organise and support such efforts. Yet, patient and public involvement (PPI) can be challenging. Hospital organisations, emphasising knowledge and evidence domains, are characterised by operational-professional rather than patient-preference led management. Thus, PPI adds aspects of influence and responsibility that are not clearly defined or understood, with limited knowledge about how it can be orchestrated. This study, therefore, aimed to explore hospital leaders' and managers' contextualised experiences of managing QI efforts involving patients, by comparing two European hospitals. The study draws on field observations and qualitative interviews with a total of 21 QI team leaders and hospital managers in a Swedish and a Dutch hospital organisation. The data were subjected to thematic analysis with a critical realist approach. Results define seven themes, or areas, in which mechanisms are at play: (1) patient involvement in hospital QI, and (2) improving outcomes for patients, originating from the strategic view of achieving the hospital vision. Furthermore, (3) societal influence, (4) knowledge and evidence, (5) complexity, (6) individual resources, and (7) cooperation are areas in which mechanisms operate in the process. These areas are equally relevant for both hospitals, yet the mechanisms involved play out differently depending on contextual structure and local means of action
Business · Health care · Knowledge management · Patient experience · Political science · Public hospital · Public relations · Qualitative research · Quality management · Sociology · Thematic analysis · Health Policy Implementation Science · Healthcare Systems and Technology · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Marketing
The Science of Improvement
Coproduction of healthcare service
Co-Production and the Co-Creation of Value in Public Services
Complexity, leadership, and management in healthcare organisations
Patient And Family Engagement
Frameworks for supporting patient and public involvement in research
How might patient involvement in healthcare quality improvement efforts work—A realist literature review
Mapping the impact of patient and public involvement on health and social care research
Optimizing patient involvement in quality improvement
Mirror meetings with frail older people and multidisciplinary primary care teams
Patient participation in collective healthcare decision making
Approaches to optimize patient and family engagement in hospital planning and improvement
Experiences from the implementation of a comprehensive development plan for user involvement in a mental health hospital
The Possibility of Naturalism
Understanding and using health experiences – improving patient care
Co-production in healthcare
Hoshin Kanri
Successful Qualitative Research
| Citation velocity | historical |
|---|---|
| Highly cited | No |