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The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation
Participation in health care is currently the zeitgeist/spirit of our times. A myriad of practices characterizes this “participatory Zeitgeist” in contemporary health care, which range from patients and professionals collaborating as partners in service delivery and treatment decision-making, to cro...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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JMIR Publications
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434075/ https://www.ncbi.nlm.nih.gov/pubmed/33064092 http://dx.doi.org/10.2196/15101 |
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author | Palmer, Victoria Jane |
author_facet | Palmer, Victoria Jane |
author_sort | Palmer, Victoria Jane |
collection | PubMed |
description | Participation in health care is currently the zeitgeist/spirit of our times. A myriad of practices characterizes this “participatory Zeitgeist” in contemporary health care, which range from patients and professionals collaborating as partners in service delivery and treatment decision-making, to crowdsourced cures and participation in online communities, to using health apps, to involvement in health care quality improvement initiatives for systems redesign using coproduction and co-design methods. To date, patient engagement and participation in online communities and the use of apps have received a good deal of attention in participatory medicine. However, there has been a less critical examination of participation in health care planning, design, delivery, and improvement. In the face of what Thomas Kuhn called a scientific revolution, we are presented with the opportunity to re-examine some of the assumptions underpinning participation in health care and some of the emerging anomalies and weaknesses in the current science. This re-examination will allow the development of a new paradigm, a science of participation. In this science, we can systematically test, refine, and advance participation in health care to build a unifying language and theories from across the interdisciplinary fields of participatory design, medicine, and research to develop and test models to explain impacts and outcomes. A science of participation will allow the emergent and unexplained facts to be addressed in the current participatory mood of health care planning, design, delivery, and improvement. |
format | Online Article Text |
id | pubmed-7434075 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-74340752020-09-30 The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation Palmer, Victoria Jane J Particip Med Viewpoint Participation in health care is currently the zeitgeist/spirit of our times. A myriad of practices characterizes this “participatory Zeitgeist” in contemporary health care, which range from patients and professionals collaborating as partners in service delivery and treatment decision-making, to crowdsourced cures and participation in online communities, to using health apps, to involvement in health care quality improvement initiatives for systems redesign using coproduction and co-design methods. To date, patient engagement and participation in online communities and the use of apps have received a good deal of attention in participatory medicine. However, there has been a less critical examination of participation in health care planning, design, delivery, and improvement. In the face of what Thomas Kuhn called a scientific revolution, we are presented with the opportunity to re-examine some of the assumptions underpinning participation in health care and some of the emerging anomalies and weaknesses in the current science. This re-examination will allow the development of a new paradigm, a science of participation. In this science, we can systematically test, refine, and advance participation in health care to build a unifying language and theories from across the interdisciplinary fields of participatory design, medicine, and research to develop and test models to explain impacts and outcomes. A science of participation will allow the emergent and unexplained facts to be addressed in the current participatory mood of health care planning, design, delivery, and improvement. JMIR Publications 2020-01-10 /pmc/articles/PMC7434075/ /pubmed/33064092 http://dx.doi.org/10.2196/15101 Text en ©Victoria Jane Palmer. Originally published in Journal of Participatory Medicine (http://jopm.jmir.org), 10.01.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Journal of Participatory Medicine, is properly cited. The complete bibliographic information, a link to the original publication on http://jopm.jmir.org, as well as this copyright and license information must be included. |
spellingShingle | Viewpoint Palmer, Victoria Jane The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation |
title | The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation |
title_full | The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation |
title_fullStr | The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation |
title_full_unstemmed | The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation |
title_short | The Participatory Zeitgeist in Health Care: It is Time for a Science of Participation |
title_sort | participatory zeitgeist in health care: it is time for a science of participation |
topic | Viewpoint |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434075/ https://www.ncbi.nlm.nih.gov/pubmed/33064092 http://dx.doi.org/10.2196/15101 |
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