Evidence map›Paper›PMID 33761175›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

Approaches to optimize patient and family engagement in hospital planning and improvement: Qualitative interviews.

Natalie N Anderson, G Ross Baker, Lesley Moody, Kerseri Scane, Robin Urquhart, Walter P Wodchis, Anna R Gagliardi

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 2% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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 · 2025
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  7. Rationalizing the Influence of Co-Design on Distress, Clinical Decision-Making and Disease Self-Management of Cancer Patients-as-Partners: A Quasi-Experimental Study.Health expectations : an international journal of public participation in health care and health policy · 2024
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  8. Evaluating patient participation in value-based healthcare: Current state and lessons learned.Health expectations : an international journal of public participation in health care and health policy · 2024
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  19. 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
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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

7 authors at 3 institutions in 1 country.

Natalie N AndersonToronto General Hospital Research Institute, 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.
Anna R GagliardiToronto General Hospital Research Institute, University Health Network, Toronto, Canada.ORCID 0000-0002-5721-809X
University Health Network · CAUniversity of Toronto · CADalhousie University · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundPatient engagement (PE) in health-care planning and improvement is a growing practice. We lack evidence-based guidance for PE, particularly in hospital settings. This study explored how to optimize PE in hospitals.

methodsThis study was based on qualitative interviews with individuals in various roles at hospitals with high PE capacity. We asked how patients were engaged, rationale for approaches chosen and solutions for key challenges. We identified themes using content analysis.

resultsParticipants included 40 patient/family advisors, PE managers, clinicians and executives from 9 hospitals (2 < 100 beds, 4 100 + beds, 3 teaching). Hospitals most frequently employed collaboration (standing committees, project teams), followed by blended approaches (collaboration + consultation), and then consultation (surveys, interviews). Those using collaboration emphasized integrating perspectives into decisions; those using consultation emphasized capturing diverse perspectives. Strategies to support engagement included engaging diverse patients, prioritizing what benefits many, matching patients to projects, training patients and health-care workers, involving a critical volume of patients, requiring at least one patient for quorum, asking involved patients to review outputs, linking PE with the Board of Directors and championing PE by managers, staff and committee/team chairs.

conclusionThis research generated insight on concrete approaches and strategies that hospitals can use to optimize PE for planning and improvement. On-going research is needed to understand how to recruit diverse patients and best balance blended consultation/collaboration approaches. PATIENT OR PUBLIC CONTRIBUTION: Three patient research partners with hospital PE experience informed study objectives and interview questions.

Indexed as

Hospital PlanningHealth PersonnelHospitalsHumansPatient ParticipationQualitative ResearchReferral and Consultationhospital planninghospitalspatient-centred carepatient engagementpatient participationqualitative researchquality improvement

Identifiers

PMID33761175
PMCPMC8235895
OpenAlexW3136644708

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.