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Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership

BACKGROUND: Engagement of the public in defining and shaping the organization and delivery of health care is increasingly viewed as integral to improving quality and promoting transparent decision making. Meaningful engagement of the public in health‐care reform is predicated on shifting entrenched...

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Detalles Bibliográficos
Autores principales: Goodridge, Donna, Isinger, Tanner, Rotter, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750697/
https://www.ncbi.nlm.nih.gov/pubmed/28960630
http://dx.doi.org/10.1111/hex.12633
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author Goodridge, Donna
Isinger, Tanner
Rotter, Thomas
author_facet Goodridge, Donna
Isinger, Tanner
Rotter, Thomas
author_sort Goodridge, Donna
collection PubMed
description BACKGROUND: Engagement of the public in defining and shaping the organization and delivery of health care is increasingly viewed as integral to improving quality and promoting transparent decision making. Meaningful engagement of the public in health‐care reform is predicated on shifting entrenched power imbalances between health‐care systems and those it claims to serve. OBJECTIVES: To describe the expressions, forms and spaces of power from the perspectives of persons who participated as Patient/Family Advisors (PFAs) in Rapid Process Improvement Workshops (RPIWs) within Saskatchewan, Canada. METHODS: Using a qualitative, interpretive approach, in‐depth interviews were conducted with a purposive sample of 18 PFAs who had participated in at least one RPIW over the past year. Deductive thematic analysis was informed by Gaventa's model of power. RESULTS: Motivations for serving as a PFA included a sense of obligation to contribute to the improvement of a public system, recognition of their rights as citizens within a publicly funded system and an opportunity to openly express their concerns where previous encounters had been very negative. The invited spaces of the RPIWs were created by policymakers to accord visible power to PFAs. Participation resulted in PFAs gaining new insights into the structure and operations of the system, affirmation of their right to advocate and recognition of the potential to claim spaces of power as consumers. Advisement on specific health‐care initiatives using the vehicle of PFAs shaped and promoted new forms and spaces of power, representing one step in a very long road to full engagement of consumers in health care.
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spelling pubmed-57506972018-02-01 Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership Goodridge, Donna Isinger, Tanner Rotter, Thomas Health Expect Original Research Papers BACKGROUND: Engagement of the public in defining and shaping the organization and delivery of health care is increasingly viewed as integral to improving quality and promoting transparent decision making. Meaningful engagement of the public in health‐care reform is predicated on shifting entrenched power imbalances between health‐care systems and those it claims to serve. OBJECTIVES: To describe the expressions, forms and spaces of power from the perspectives of persons who participated as Patient/Family Advisors (PFAs) in Rapid Process Improvement Workshops (RPIWs) within Saskatchewan, Canada. METHODS: Using a qualitative, interpretive approach, in‐depth interviews were conducted with a purposive sample of 18 PFAs who had participated in at least one RPIW over the past year. Deductive thematic analysis was informed by Gaventa's model of power. RESULTS: Motivations for serving as a PFA included a sense of obligation to contribute to the improvement of a public system, recognition of their rights as citizens within a publicly funded system and an opportunity to openly express their concerns where previous encounters had been very negative. The invited spaces of the RPIWs were created by policymakers to accord visible power to PFAs. Participation resulted in PFAs gaining new insights into the structure and operations of the system, affirmation of their right to advocate and recognition of the potential to claim spaces of power as consumers. Advisement on specific health‐care initiatives using the vehicle of PFAs shaped and promoted new forms and spaces of power, representing one step in a very long road to full engagement of consumers in health care. John Wiley and Sons Inc. 2017-09-28 2018-02 /pmc/articles/PMC5750697/ /pubmed/28960630 http://dx.doi.org/10.1111/hex.12633 Text en © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Papers
Goodridge, Donna
Isinger, Tanner
Rotter, Thomas
Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
title Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
title_full Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
title_fullStr Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
title_full_unstemmed Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
title_short Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
title_sort patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: power and partnership
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750697/
https://www.ncbi.nlm.nih.gov/pubmed/28960630
http://dx.doi.org/10.1111/hex.12633
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