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dc.contributor.authorSagen, Joachim Støren
dc.contributor.authorSmedslund, Geir
dc.contributor.authorSimonsen, Ann Elisabeth
dc.contributor.authorHabberstad, Andreas Hanssønn
dc.contributor.authorKjeken, Ingvild
dc.contributor.authorDagfinrud, Hanne
dc.contributor.authorMoe, Rikke Helene
dc.date.accessioned2024-02-08T11:10:46Z
dc.date.available2024-02-08T11:10:46Z
dc.date.created2023-09-05T10:54:33Z
dc.date.issued2023
dc.identifier.citationBMJ Open Quality. 2023, 12 (2), .en_US
dc.identifier.issn2399-6641
dc.identifier.urihttps://hdl.handle.net/11250/3116359
dc.description.abstractBackground Patient engagement (PE) is required to improve future healthcare services. PE in the development and delivery of healthcare services is likely to be complex but is scarcely described. Objectives The objective of this scoping review was to summarise primary studies on mesolevel PE regarding structure, process and outcomes. More specifically, the aim was to explore barriers and facilitators to successful PE, how persons are engaged in the process and summarise reported consequences. Method A systematic scoping review was conducted, searching the MEDLINE, EMBASE, Cochrane and PsycINFO databases. Primary studies, published between 7 July 2005 and 4 October 2022, were considered for inclusion. Two reviewers extracted data about PE (eg, attributes of PE settings, facilitators and barriers, and outcomes to PE) and the first author coded the extracted data into structural, processual and outcome themes. Results Of 8588 identified records, 37 studies were eligible. Most of the included studies were conducted in Europe (n=19; 51%) and North America (n=13; 35%). Structures that ensure sufficient stakeholder representativeness and PE knowledge through education may facilitate the PE process further, regardless of the environmental setting. Interpersonal relationships with uneven power dynamics were reported as noteworthy processual barriers to meaningful PE, while clearly described roles and tasks were reported as important facilitators. In contrast to hard outcomes with operationalised PE effects, the most noteworthy outcomes of PE were reported as soft processual consequences such as patient representatives improving their self-esteem and feeling valued. Conclusions Unfortunately, there is a dearth of studies exploring hard and operationalised PE outcomes on healthcare services and patients receiving healthcare. The PE process may be facilitated by dedicated finances to PE education and by ensuring sufficient stakeholder representativeness.en_US
dc.language.isoengen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titlePatient engagement in the development and delivery of healthcare services: a systematic scoping reviewen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1136/bmjoq-2023-002309
dc.identifier.cristin2172428
dc.source.journalBMJ Open Qualityen_US
dc.source.volume12en_US
dc.source.issue2en_US
dc.source.pagenumber11en_US
dc.relation.projectNorges forskningsråd: 328657en_US


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal