Medicine and user involvement within European healthcare: a typology for European comparative research

Dent, Mike; Fallon, Cathérine; Wendt, Claus; Vuori, Jari; Pietro, Carlo De; Pahor, Majda; Silva, Susana

doi:10.1111/j.1742-1241.2011.02803.x

Cited by 12 publications

(26 citation statements)

References 14 publications

(13 reference statements)

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“…This is expressed when, even if potential reasons for complaint are present, members decide to remain acquiescent to their organization, forgoing both the exit and voice strategies: it usually involves a reasonable belief that the probability of influencing decisions is minimal and that the cost of exit is high. Dent et al (2011) and Dent and Pahor in the present issue, also propose a typology with three different behaviours classified specifically in relation to patients in health care systems: "choice", "voice" and "co-production".…”

Section: Introductionmentioning

confidence: 93%

“…Users' associations, users' groups and involvement How users' involvement functions within a health care system can be read through different lenses. Among others, two interesting typologies can be used for this purpose: the one developed by Hirschman (1970) and a more recent one, specifically designed for health care, by Dent et al (2011).…”

Section: Introductionmentioning

confidence: 99%

“…In fact, exit and choice have practically the same meaning, whereas the concept of voice is used in exactly the same way. Instead, "loyalty" and "co-production" have some features in common but they also differ: in co-production there must be an activation of patients; and "mutual trust" between them and professionals in the health care organizations is essential (Dent et al, 2011), whereas in the case of loyalty activation and trust may or may not be present.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Users’ involvement in the Italian NHS: the role of associations and self-help groups

Pavolini

Spina

2015

Journal of Health Organization and Management

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Users’ involvement in the Italian NHS: the role of associations and self-help groups

Pavolini

Spina

2015

Journal of Health Organization and Management

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“…These studies also included the perspectives and experiences of 173 healthcare professionals. 59 The remaining four studies employed the following frameworks/theories: Critical Feminism, 48 Communicative Action, 43 Volunteerism, 51 and Hierarchy Theory. 55 Degrees of Patient Engagement.…”

Section: Descriptive Characteristicsmentioning

confidence: 99%

Conceptual frameworks and degrees of patient engagement in the planning and designing of health services: A scoping review of qualitative studies

Majid¹,

Gagliardi²

2019

Patient Experience Journal

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Increasingly, patients are being recognized as essential partners in the solutions to healthcare system problems. Patient engagement has been referred to as the "holy grail" and next "blockbuster drug" of health care because it may be revolutionary for transforming the design, delivery, and responsiveness of health services. Patients engage in a variety of healthcare activities, and there are multiple frameworks that depict the degrees of patient engagement in these activities. The literature also uses a variety of terms and concepts to depict the degrees of patient engagement. Moreover, meaningful patient engagement is a concept widely utilized in the literature without a clear definition. The conceptual boundaries and differences between degrees of engagement are unclear. This scoping review summarizes the descriptive characteristics, the degrees of engagement, and examines the terms used to depict meaningful engagement as conceptualized by studies on planning and designing of administrative or health services and interventions. The research questions for this study are: What are the descriptive and study characteristics of studies where patients engage in planning and designing activities? What terms do studies use to depict meaningful patient engagement? This review found a variety of terms used by the literature to depict meaningful engagement: collaboration, cooperation, co-production, active involvement, partnership, and consumer and peer leadership. This review also found that studies seldom use patient engagement frameworks to identify the degree of engagement. The implications of these findings are discussed in light of the literature on patient engagement and recommendations for future practice are provided.

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“…Thus, a Danish case is an apposite empirical setting for studying some of the first experiences with patients’ IT-supported self-reporting and how user involvement as co-production affects the clinical encounter, and what its implications are for the tasks and roles of professionals and patients (Dent et al , 2011; Vrangbæk, 2015).…”

Section: Introductionmentioning

confidence: 99%

Digital displacements in patient-professional relations

Pors

2018

JHOM

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Purpose The purpose of this paper is to examine the relational consequences of electronic patient records based on co-produced data from pregnant women's IT supported self-reporting. The analysis unfolds how the clinical encounter between patient and professional is reconfigured in the digitized society. Design/methodology/approach The paper provides a grounded theory analysis based on observations and interviews in an antenatal care unit. The study draws on empirical material generated through observations of the clinical encounters between pregnant women and midwifes, interviews with managers and midwifes, field notes and policy documents. Findings The author argues that the use of technology and co-produced data displace tasks and relations between healthcare professional and patient. The analysis shows that four modes of organizational patient involvement are enacted: involvement in administrative tasks, involvement in professional resistance, individualized involvement, and homogenized involvement of patients that tends to categorize the pregnancy roughly as either "normal" or "abnormal." Originality/value This study contributes to qualitative research in digitization and patient involvement in health organization studies by showing how digital technology distributes the midwife's autonomy, tasks and knowledge about the patient with both intended and unintended consequences. The argument goes beyond the prevalent prescriptive approaches to e-government and co-production, instead providing a critical analytical perspective on the promises of delivering efficient and patient-centered healthcare.

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Medicine and user involvement within European healthcare: a typology for European comparative research

Cited by 12 publications

References 14 publications

Users’ involvement in the Italian NHS: the role of associations and self-help groups

Users’ involvement in the Italian NHS: the role of associations and self-help groups

Conceptual frameworks and degrees of patient engagement in the planning and designing of health services: A scoping review of qualitative studies

Digital displacements in patient-professional relations

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