ArticleHealth expectations : an international journal of public participation in health care and health policy2002
User involvement in clinical governance.
Article in Health expectations : an international journal of public participation in health care and health policy, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Consumers' and health providers' views and perceptions of partnering to improve health services design, delivery and evaluation: a co-produced qualitative evidence synthesis.The Cochrane database of systematic reviews · 2023Pooled it
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- Optimizing Community Participation in Healthcare Planning, Decision Making and Delivery through Rural Health Councils.Healthcare policy = Politiques de sante · 2022Article
- Patient involvement in healthcare workers' practices: how does it operate? A mixed-methods study in a French university hospital.BMC health services research · 2020Review
- Governance of Iranian Primary Health Care System: Perceptions of Experts.Iranian journal of public health · 2019Article
- Consumers or Citizens? Whose Voice Will Healthwatch Represent and Will It Matter? Comment on "Challenges Facing Healthwatch, a New Consumer Champion in England".International journal of health policy and management · 2016Article
- Involvement of patients or their representatives in quality management functions in EU hospitals: implementation and impact on patient-centred care strategies.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- The role of community representatives on health service committees: staff expectations vs. reality.Health expectations : an international journal of public participation in health care and health policy · 2011Article
- Exploring the influence of service user involvement on health and social care services for cancer.Health expectations : an international journal of public participation in health care and health policy · 2011Article
- Patients' priorities for ambulatory hospital care centres. A survey and discrete choice experiment among elderly and chronically ill patients of a Dutch hospital.Health expectations : an international journal of public participation in health care and health policy · 2009Article
- Lay perceptions of the desired role and type of user involvement in clinical governance.Health expectations : an international journal of public participation in health care and health policy · 2009Article
- [What are patients' rights?].Atencion primaria · 2008Article
- Captured voices in cancer: experiences from networking between individuals with experiential and professional knowledge.BMC health services research · 2007Article
- A survey and audit of the first 'Guides to Local Health Services' produced by Primary Care Trusts in England.Health expectations : an international journal of public participation in health care and health policy · 2005Article
- Whatever happened to shared decision-making?Health expectations : an international journal of public participation in health care and health policy · 2002Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the involvement of users in clinical governance activities within Primary Care Groups (PCGs) and Trusts (PCTs). Drawing on policy and guidance published since 1997, the paper sets out a framework for how users are involved in this agenda, evaluates practice against this standard and suggests why current practice for user involvement in clinical governance is flawed and why this reflects a flaw in the policy design as much as its implementation.
designQualitative data comprising semi-structured interviews, reviews of documentary evidence and relevant literature.
settingTwelve PCGs/PCTs in England purposively selected to provide variation in size, rurality and group or trust status.
participantsKey stakeholders including Lay Board members (n = 12), Chief Executives (CEs) (n = 12), Clinical Governance Leads (CG leads) (n = 14), Mental Health Leads (MH leads) (n = 9), Board Chairs (n = 2) and one Executive Committee Lead.
resultsDespite an acknowledgement of an organizational commitment to lay involvement, in practice very little has occurred. The role of lay Board members in setting priorities and implementing and monitoring clinical governance remains low. Beyond Board level, involvement of users, patients of GP practices and the general public is patchy and superficial. The PCGs/PCTs continue to rely heavily on Community Health Councils (CHCs) as a conduit or substitute for user involvement; although their abolition is planned, their role to be fulfilled by new organizations called Voices, which will have an expanded remit in addition to replacing CHCs.
conclusionsClarity is required about the role of lay members in the committees and subcommittees of PCGs and PCTs. Involvement of the wider public should spring naturally from the questions under consideration, rather than be regarded as an end in itself.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.