Development of Conceptual Framework from the View of Patients and Professionals on Patient Engagement: A Qualitative Study in Hong Kong SAR, China

Abstract

Objective: To investigate patient engagement to gain understandings of professional and patient's views and inform the development of a patient engagement conceptual framework for further development of a valid and reliable evaluated measure. Method: 17 selected hospitals from Hong Kong East Cluster, Hong Kong West Cluster, Kowloon Central Cluster, Kowloon East Cluster and New Territory East Cluster of Hospital Authority Hong Kong involved in the study. Focus groups were conducted with 37 medical staffs, which included 15 doctors and 22 nurses, and 33 patients. Semi-structured qualitative interview study, with purposive sampling and constant comparative analysis. Results: Data were analyzed using a qualitative approach of latent content analysis. Patient engagement is a multi-dimensional concept. Five hierarchical themes separately from the patient and medical staff's perspectives containing different conceptions and attitudes related to patient engagement have been identified and summarized. Through analyzing both professional and patients' perspectives, a hierarchical framework incorporating patients-professional dynamically fluctuating relationship was built. The framework divides engagement into five levels and five stages. Conclusions: Patient engagement is recognized by more patients and professionals as a means and a cornerstone to build the foundation of patient-centered-care. Our framework encourages that patient engagement related to not only an individual patient's behavior but a reciprocal, dynamic and pluralistic relationship with their professionals and healthcare systems. Understand this relationship can help us better conceptualizing, evaluating, and implementing interventions to improve the population's health.

The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study

“…Patient SSDM was assessed using a self-administered questionnaire. It was developed based on our previous patient engagement framework [ 36 ] and index [ 37 ], findings from literature review, focus group interviews (including patients, doctors, nurses, and policy makers), and expert discussion. It assessed patient satisfaction with decision-making, along with doctors in clinical practice.…”

Development and validation of an instrument to measure patient engagement in Hong Kong Special Administrative Region, China

“…The original framework was established based on literature reviews and a series of previous focus group interviews of both professionals and patients in the local health care system. 25 The modified framework suggested that patient engagement should be a relationship, which is reciprocal, dynamic, and pluralistic, rather than an invariable status among patients, professionals, and the organizations. The framework presented five levels of patient engagement (self-information search, enquiry, bidirectional communication, discussion, and partnership).…”

Hubungan Fungsi Manajemen Kepala Ruangan dengan Pelibatan Pasien (Patient Engagement) dalam Asuhan Keperawatan di Masa Pandemi Covid-19

“…Kuesioner pelibatan pasien digunakan untuk mengukur pelibatan pasien dalam asuhan keperawatan di masa pandemi Covid-19. Kuesioner pelibatan pasien dalam asuhan keperawatan yang digunakan dalam penelitian ini merupakan kuisioner yang dimodifikasi dari kuesioner d Patient Engagement Index (Xu et al, 2018), The Conceptual Framework of Patient Engagement (Wong et al, 2018)…”

“…Pemberian informasi tentang semua aspek asuhan medis dan tindakan, termasuk asuhan dan tindakan keperawatan juga sudah diatur dalam Standar HPK 2.1 dalam SNARS (2019). Pemberian informasi dan edukasi pada pasien yang dilakukan dalam asuhan keperawatan menurut Wong et al (2018), juga meliputi informasi dan edukasi dari pasien masuk hingga pasien pulang.…”

“…Tujuan dari pemberian informasi dan edukasi pasien adalah untuk mengkaji pengetahuan pasien tentang kesehatannya dan meningkatkan kesadaran pasien akan gejala/penyakit (Wong et al, 2018) Pasien harus mendapatkan informasi dan edukasi sesuai dengan kasus atau penyakit (Wong et al, 2018;Xu et al, 2018). Namun di masa pandemi Covid-19 ini memberikan informasi dan edukasi dapat dilakukan dengan cara memanfaatkan teknologi demi mengurangi transmisi terhadap tenaga kesehatan (Contreras et al, 2020;Li et al, 2015;Meyer, 2020;Srinivasan et al, 2020).…”