Evidence map›Paper›PMID 33632200›Full record

ArticleBMC health services research2021

Hospital capacity for patient engagement in planning and improving health services: a cross-sectional survey.

Anna R Gagliardi, Juan Pablo Diaz Martinez, G Ross Baker, Lesley Moody, Kerseri Scane, Robin Urquhart, Walter P Wodchis

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Frameworks for Action: A Scoping Review of Organisational Patient Engagement Models in Healthcare.The International journal of health planning and management · 2026
    Article
  2. Review
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  5. Review
  6. Article
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  9. Refining a capability development framework for building successful consumer and staff partnerships in healthcare quality improvement: A coproduced eDelphi study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Review
  10. Article
  11. Organizational capacity for patient and family engagement in hospital planning and improvement: interviews with patient/family advisors, managers and clinicians.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
  12. Approaches to optimize patient and family engagement in hospital planning and improvement: Qualitative interviews.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
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

7 authors.

Anna R GagliardiToronto General Hospital Research Institute, University Health Network, 200 Elizabeth Street, 13EN-228, Toronto, M5G2C4, Canada. anna.gagliardi@uhnresearch.ca.
Juan Pablo Diaz MartinezBiostatistics Research Unit, University Health Network, Toronto, Canada.
G Ross BakerInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Lesley MoodyPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Kerseri ScanePatient Partnerships, University Health Network, Toronto, Canada.
Robin UrquhartDepartment of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Walter P WodchisInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient engagement (PE) in planning or improving hospital facilities or services is one approach for improving healthcare delivery and outcomes. To provide evidence on hospital capacity needed to support PE, we described the attributes of hospital PE capacity associated with clinical quality measures.

methodsWe conducted a cross-sectional survey of general and specialty hospitals based on the Measuring Organizational Readiness for Patient Engagement framework. We derived a PE capacity index measure, and with Multiple Correspondence Analysis, assessed the association of PE capacity with hospital type, and rates of hand-washing, C. difficile infection rates and 30-day readmission.

resultsRespondents (91, 66.4%) included general: < 100 beds (48.4%), 100+ beds (27.5%), teaching hospitals (11.0%) and specialty (13.2%) hospitals. Most featured PE in multiple clinical and corporate departments. Most employed PE in a range of Planning (design/improve facilities 94.5%, develop strategic plans 87.9%), Evaluation/Quality Improvement (accreditation 91.2%, develop QI plans 90.1%) and Service Delivery activities (develop information/communication aids 92.3%). Hospitals enabled PE with multiple supports (median 12, range 0 to 25), most often: 76.9% strategic plan recognizes PE, 74.7% patient/family advisory council, and 69.2% pool of patient volunteers; and least often: 30.0% PE staff, 26.4% PE funding and 16.5% patient reimbursement or 3.3% compensation. Hospitals employed a range of less (inform, consult) and more (involve, partner) active modes of engagement. Two variables accounted for 29.6% of variance in hospital PE capacity index measure data: number of departments featuring PE and greater use of active engagement modes. PE capacity was not associated with general hospital type or clinical quality measures.

conclusionsHospitals with fewer resources can establish favourable PE conditions by deploying PE widely and actively engaging patients. Healthcare policy-makers, hospital executives and PE managers can use these findings to allocate PE resources. Future research should explore how PE modes and methods impact clinical outcomes.

Indexed as

Clostridioides difficilePatient ParticipationCross-Sectional StudiesHealth ServicesHospitalsHumansHospitalsOrganizational capacityPatient-centred carePatient engagementQuestionnaire

Identifiers

PMID33632200
PMCPMC7908767

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LicenceCC BY
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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.