ArticleBMJ open2018
Patient engagement in hospital health service planning and improvement: a scoping review.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
68 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- What makes patients engaged: a meta narrative review and multilevel perspective on patient engagement.BMC psychology · 2026Pooled 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
- No evidence synthesis about me without me: Involving young people in the conduct and dissemination of a complex evidence synthesis.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Engaging patients to improve quality of care: a systematic review.Implementation science : IS · 2018Pooled it
- Promoting Patient Safety Through Patient Engagement at the Organisational Level: A Delphi-Based Needs Assessment Among Patient and Family Advisory Councils.Health expectations : an international journal of public participation in health care and health policy · 2025Trial
- How Patients Shape Healthcare: Then, Now and What's to Come?Journal of advanced nursing · 2026Article
- The Ethical Foundations of Accompanying Patients: The Need for Institutionalization.Journal of bioethical inquiry · 2026Article
- Engaging patient and family advisory councils (PFACs) in patient safety in healthcare organisations: a rapid scoping review.BMJ open quality · 2026Article
- The Participation of Older Persons in the Adoption of Age-Friendly Care Models in Hospital Settings: A Scoping Review.Nursing & health sciences · 2026Article
- Patient engagement and shared decision-making in trial recruitment intervention studies: a systematic review.Research involvement and engagement · 2025Review
- A Blended Educational Program to Promote Dialogue on Patient Safety Between Patient and Family Advisory Councils and Health Care Organizations: Codevelopment Study.JMIR formative research · 2025Article
- Development of a practical guide for patient participation in value-based healthcare: an action research study.BMJ open · 2025Article
- Patient and family engagement in patient safety efforts in low-resource settings: a scoping review.BMJ open · 2025Article
- Article
- Developing an evaluation tool for the impact of consumer partnerships in healthcare governance: a coproduced mixed methods study.BMJ open quality · 2025Article
- A Qualitative Study to Improve How We Partner With Patients and Families in Healthcare Improvement Collaboratives.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Engagement as a mechanism of action in collaborative learning health systems.Learning health systems · 2025Article
- Identifying potential outcomes of patient engagement in primary care quality improvement: a modified Delphi study.Journal of evaluation in clinical practice · 2025Article
- Article
- The Equity Imperative: Transforming Research Coproduction for Impact Comment on "Research Coproduction: An Underused Pathway to Impact".International journal of health policy and management · 2025Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPatient engagement (PE) improves patient, organisation and health system outcomes, but most research is based on primary care. The primary purpose of this study was to describe the characteristics of published empirical research that evaluated PE in hospital health service improvement.
designScoping review.
methodsFive databases were searched from 2006 to September 2016. English language studies that evaluated patient or provider beliefs, participation in PE, influencing factors or impact were eligible. Screening and data extraction were done in triplicate. PE characteristics, influencing factors and impact were extracted and summarised.
resultsFrom a total of 3939 search results, 227 studies emerged as potentially relevant; of these, 217 were not eligible, and 10 studies were included in the review. None evaluated behavioural interventions to promote or support PE. While most studies examined involvement in standing committees or projects, patient input and influence on decisions were minimal. Lack of skill and negative beliefs among providers were PE barriers. PE facilitators included careful selection and joint training of patients and providers, formalising patient roles, informal interaction to build trust, involving patients early in projects, small team size, frequent meetings, active solicitation of patient input in meetings and debriefing after meetings. Asking patients to provide insight into problems rather than solutions and deploying provider champions may enhance patient influence on hospital services.
conclusionsGiven the important role of PE in improving hospital services and the paucity of research on this topic, future research should develop and evaluate behavioural interventions for PE directed at patients and providers informed by the PE barriers and facilitators identified here. Future studies should also assess the impact on various individual and organisational outcomes.
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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.