Evidence map›Paper›PMID 32299398›Full record

ArticleBMC public health2020

Searching for new community engagement approaches in the Netherlands: a realist qualitative study.

E De Weger, N J E Van Vooren, H W Drewes, K G Luijkx, C A Baan

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Addressing Medical Deserts in Europe: Lessons From a Comparative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2026
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  10. 'They need to ask me first'. Community engagement with low-income citizens. A realist qualitative case-study.Health expectations : an international journal of public participation in health care and health policy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

E De WegerNational Institute for Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands. esther.de.weger@rivm.nl.
N J E Van VoorenNational Institute for Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands.
H W DrewesNational Institute for Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands.
K G LuijkxTilburg University, Tranzo, Tilburg School of Social and Behavioural Sciences, PO Box 90153, 5000, LE, Tilburg, The Netherlands.
C A BaanNational Institute for Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity engagement is increasingly seen as key to improving healthcare systems and to increasing communities' involvement in the shaping of their own communities. This paper describes how 'community engagement' (CE) is understood and being operationalised in the Dutch healthcare system by investigating the CE approaches being implemented in six different regions and by examining engaged citizens' and professionals' experiences of those CE approaches.

methodsFor this realist study, interviews and focus groups were held with citizens (16) and professionals (42) involved in CE approaches in the six regions. Additionally, CE-related activities were observed to supplement interview data.

resultsThis study shows that citizens and professionals defined and experienced CE differently and that they differed in who they felt had ownership of CE. The CE approaches implemented in community-led initiatives and organisationally-led initiatives varied accordingly. Furthermore, both citizens and professionals were searching for meaningful ways for citizens to have more control over healthcare in their own communities.

conclusionCE can be improved by, first of all, developing a shared and overarching vision of what CE should look like, establishing clear roles and remits for organisations and communities, and taking active measures to ensure CE is more inclusive and representative of harder-to-reach groups. At the same time, to help ensure such shared visions do not further entrench power imbalances between citizens and professionals, professionals require training in successful CE approaches.

Indexed as

Community-Based Participatory ResearchCommunity ParticipationCooperative BehaviorDelivery of Health CareEthnicityFocus GroupsHealth Services Needs and DemandHumansNetherlandsQualitative ResearchSocioeconomic FactorsCitizen engagementCommunity engagementCommunity participationDecentralisationHealthcareRealist evaluation

Identifiers

PMID32299398
PMCPMC7164336

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Registered trials

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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.