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Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran
INTRODUCTION: Patient and public involvement is engaging patients, providers, community representatives, and the public in healthcare planning and decision-making. The purpose of this study was to develop a model for the application of patient and public involvement in decision making in the Iranian...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Electronic physician
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965200/ https://www.ncbi.nlm.nih.gov/pubmed/27504165 http://dx.doi.org/10.19082/2506 |
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author | Azmal, Mohammad Sari, Ali Akbari Foroushani, Abbas Rahimi Ahmadi, Batoul |
author_facet | Azmal, Mohammad Sari, Ali Akbari Foroushani, Abbas Rahimi Ahmadi, Batoul |
author_sort | Azmal, Mohammad |
collection | PubMed |
description | INTRODUCTION: Patient and public involvement is engaging patients, providers, community representatives, and the public in healthcare planning and decision-making. The purpose of this study was to develop a model for the application of patient and public involvement in decision making in the Iranian healthcare system. METHODS: A mixed qualitative-quantitative approach was used to develop a conceptual model. Thirty three key informants were purposely recruited in the qualitative stage, and 420 people (patients and their companions) were included in a protocol study that was implemented in five steps: 1) Identifying antecedents, consequences, and variables associated with the patient and the publics’ involvement in healthcare decision making through a comprehensive literature review; 2) Determining the main variables in the context of Iran’s health system using conceptual framework analysis; 3) Prioritizing and weighting variables by Shannon entropy; 4) designing and validating a tool for patient and public involvement in healthcare decision making; and 5) Providing a conceptual model of patient and the public involvement in planning and developing healthcare using structural equation modeling. We used various software programs, including SPSS (17), Max QDA (10), EXCEL, and LISREL. Content analysis, Shannon entropy, and descriptive and analytic statistics were used to analyze the data. RESULTS: In this study, seven antecedents variable, five dimensions of involvement, and six consequences were identified. These variables were used to design a valid tool. A logical model was derived that explained the logical relationships between antecedent and consequent variables and the dimensions of patient and public involvement as well. CONCLUSION: Given the specific context of the political, social, and innovative environments in Iran, it was necessary to design a model that would be compatible with these features. It can improve the quality of care and promote the patient and the public satisfaction with healthcare and legitimate the representative of people they served for. This model can provide a practical guide for managers and policy makers to involve people in making the decisions that influence their lives. |
format | Online Article Text |
id | pubmed-4965200 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Electronic physician |
record_format | MEDLINE/PubMed |
spelling | pubmed-49652002016-08-08 Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran Azmal, Mohammad Sari, Ali Akbari Foroushani, Abbas Rahimi Ahmadi, Batoul Electron Physician Original Article INTRODUCTION: Patient and public involvement is engaging patients, providers, community representatives, and the public in healthcare planning and decision-making. The purpose of this study was to develop a model for the application of patient and public involvement in decision making in the Iranian healthcare system. METHODS: A mixed qualitative-quantitative approach was used to develop a conceptual model. Thirty three key informants were purposely recruited in the qualitative stage, and 420 people (patients and their companions) were included in a protocol study that was implemented in five steps: 1) Identifying antecedents, consequences, and variables associated with the patient and the publics’ involvement in healthcare decision making through a comprehensive literature review; 2) Determining the main variables in the context of Iran’s health system using conceptual framework analysis; 3) Prioritizing and weighting variables by Shannon entropy; 4) designing and validating a tool for patient and public involvement in healthcare decision making; and 5) Providing a conceptual model of patient and the public involvement in planning and developing healthcare using structural equation modeling. We used various software programs, including SPSS (17), Max QDA (10), EXCEL, and LISREL. Content analysis, Shannon entropy, and descriptive and analytic statistics were used to analyze the data. RESULTS: In this study, seven antecedents variable, five dimensions of involvement, and six consequences were identified. These variables were used to design a valid tool. A logical model was derived that explained the logical relationships between antecedent and consequent variables and the dimensions of patient and public involvement as well. CONCLUSION: Given the specific context of the political, social, and innovative environments in Iran, it was necessary to design a model that would be compatible with these features. It can improve the quality of care and promote the patient and the public satisfaction with healthcare and legitimate the representative of people they served for. This model can provide a practical guide for managers and policy makers to involve people in making the decisions that influence their lives. Electronic physician 2016-06-25 /pmc/articles/PMC4965200/ /pubmed/27504165 http://dx.doi.org/10.19082/2506 Text en © 2016 The Authors This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/3.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Original Article Azmal, Mohammad Sari, Ali Akbari Foroushani, Abbas Rahimi Ahmadi, Batoul Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran |
title | Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran |
title_full | Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran |
title_fullStr | Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran |
title_full_unstemmed | Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran |
title_short | Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran |
title_sort | developing a conceptual model for the application of patient and public involvement in the healthcare system in iran |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965200/ https://www.ncbi.nlm.nih.gov/pubmed/27504165 http://dx.doi.org/10.19082/2506 |
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