Patient participation in care safety: Primary Health Care professionals’ perception

Abstract

Objectives: to analyze health professionals’ perception about the meaning and practice of patient involvement in care safety in Primary Health Care. Methods: this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin. Results: nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety. Final Considerations: the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals’ practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvement in care safety.

The role of patients in the governance of a sustainable healthcare system: A scoping review

“…The majority of studies suggested that it’s appropriate to expect patients to be accountable for their health-related behaviours [ 33 – 47 , 49 , 51 – 55 ] whether as a preventative strategy before the onset of disease [ 34 , 37 – 47 , 49 , 51 – 55 ], as a compliance strategy to minimize the health-related effects of disease [ 41 , 44 , 49 , 51 , 54 ], or as a responsible utilization strategy to minimize the waste of limited healthcare resources [ 48 , 51 , 53 – 55 ].…”

“…Studies indicated that individuals are accountable for lifestyle choices and risks that could have been avoided [ 33 , 34 , 37 – 39 , 41 – 43 , 47 , 48 , 56 ], attempting to make the best choices for their health [ 33 , 35 , 52 , 56 ] and implementing health promotion and healthy living and safe activities [ 49 , 51 ]. A study highlighted patient responsibilities, which included being truthful, providing a complete medical history, requesting information or clarification, complying with physician instructions, meeting financial obligations, being cognizant of the costs associated with healthcare, using medical resources judiciously and discussing the end of life decisions and organ donation [ 54 ].…”

“…Furthermore, patients take responsibility for their health by accepting the assistance of healthcare providers and involving family members in decision-making. This highlights the importance of individualized care or patient-oriented care [ 49 ]. Thus, patients should be willing to accept help for their care while also keeping in mind that their health is under their control instead of completely shifting their roles onto their healthcare providers [ 56 ].…”

“…Co-responsibility differs from a shared responsibility, as people do not own the same responsibility but instead have different, individual interdependent and more autonomous responsibilities [49].…”

Strategies for Involving Patients and Caregivers in Patient Safety Actions: Integrative Review

“…5,6 O termo "participação do paciente" pode ser definido como envolvimento do paciente no processo de tomada de decisão em relação às questões de saúde. 7 Partindo desse princípio, busca-se possibilitar que os pacientes tenham conhecimento sobre seu estado de saúde, sejam estimulados a interagir com os profissionais e participar das decisões do seu plano de cuidado. 8,9 Nessa perspectiva, a OMS criou a campanha "Patients for Patient Safety", com o objetivo de incluir os pacientes e acompanhantes na promoção da assistência segura e garantir que suas necessidades sejam respeitadas durante os cuidados de saúde.…”