ArticleHealth expectations : an international journal of public participation in health care and health policy2006
'Taking off the suit': engaging the community in primary health care decision-making.
Article in Health expectations : an international journal of public participation in health care and health policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 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
- The impact of patient advisors on healthcare outcomes: a systematic review.BMC health services research · 2017Pooled it
- Community coalition-driven interventions to reduce health disparities among racial and ethnic minority populations.The Cochrane database of systematic reviews · 2015Pooled it
- Coverage and quality of patient participation groups: a mixed-methods analysis of Care Quality Commission reports.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Intralesional Meglumine Antimoniate: Safe, Feasible and Effective Therapy for Cutaneous Leishmaniasis in Bolivia.Tropical medicine and infectious disease · 2022Article
- Patient and public involvement facilitators: Could they be the key to the NHS quality improvement agenda?Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Implementing community participation via interdisciplinary teams in primary care: An Irish case study in practice.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Community readiness and momentum: identifying and including community-driven variables in a mixed-method rural palliative care service siting model.BMC palliative care · 2018Article
- The perceived usefulness of community based education and service (COBES) regarding students' rural workplace choices.BMC medical education · 2016Article
- A comparative analysis of potential spatio-temporal access to palliative care services in two Canadian provinces.BMC health services research · 2015Article
- What is the evidence base for public involvement in health-care policy?: results of a systematic scoping review.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Community participation in rural health: a scoping review.BMC health services research · 2013Article
- From awareness to involvement? A qualitative study of respiratory patients' awareness of health service change.Health expectations : an international journal of public participation in health care and health policy · 2011Article
- Community-based DOTS and family member DOTS for TB control in Nepal: costs and cost-effectiveness.Cost effectiveness and resource allocation : C/E · 2008Article
- The UCLan community engagement and service user support (Comensus) project: valuing authenticity, making space for emergence.Health expectations : an international journal of public participation in health care and health policy · 2007Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the process of public involvement in planning primary health care.
backgroundRecent policy in the UK promotes public involvement in planning health but there have been difficulties in engaging communities in the process. Surveys of health service organizations have found that there has been a failure to adapt to new approaches. It has become important to understand why this has occurred if policy initiatives to encourage involvement are to succeed.
designQualitative study. Data collected through individual interviews and focus groups.
settingTwo new primary healthcare developments in deprived areas in Bristol and Weston-Super-Mare.
participantsThirty-six professionals and 23 local residents in Bristol; six professionals and three local residents in Weston-Super-Mare.
resultsThree themes were identified: process, partnership and power. The main findings were that exceptional people with a shared commitment to public involvement were necessary to motivate others and develop partnerships. Local people were drawn into the process and with increased confidence became powerful advocates for their community. Creative and varied methods to involve the public were important in achieving balance between professionals and lay people. However, conflicts over practical decisions arose from a lack of clarity over who had power to influence decisions.
conclusionMost of the participants were enthusiastic about their experience of public involvement in planning primary health care. Features crucial to sustainable involvement included a commitment from leaders within statutory agencies, support over a long period to build the confidence of local people, willingness to use informal approaches that are in tune with local culture, and a recognition of the concerns of both service users and providers.
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Registered trials
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