Evidence map›Paper›PMID 35923116›Full record

ReviewHealth expectations : an international journal of public participation in health care and health policy2022

The Ecology of Engagement: Fostering cooperative efforts in health with patients and communities.

Antoine Boivin, Vincent Dumez, Geneviève Castonguay, Alexandre Berkesse

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
9.2field-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

23 citing papers in PubMed, 33 citations in OpenAlex.

  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
  3. The Many Faces of Engagement: A Scoping Review of Paediatric Patient and Family Engagement in Clinical Care, Education and Research.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Patient Engagement in Integrated Care: What Matters and Why?Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Consumer Involvement in the Design and Development of Medication Safety Interventions or Services in Primary Care: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  16. Ecologising Invited and Uninvited Patient Participation in Russia.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Antoine BoivinCanada Research Chair in Partnership with Patients and Communities, Montreal, Quebec, Canada.ORCID 0000-0001-7824-8602
Vincent DumezCenter of Excellence for Partnership with Patients and the Public, Montreal University Hospital Research Center, Université de Montréal, Montreal, Quebec, Canada.
Geneviève CastonguayCanada Research Chair in Partnership with Patients and Communities, Montreal, Quebec, Canada.
Alexandre BerkesseCenter of Excellence for Partnership with Patients and the Public, Montreal University Hospital Research Center, Université de Montréal, Montreal, Quebec, Canada.
Canadian Patient Safety Institute · CAÉcole des Hautes Études en Santé Publique · FRUniversité de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPatients and community members are engaged in nearly every aspect of health systems. However, the engagement literature remains siloed and fragmented, which makes it difficult to connect engagement efforts with broader goals of health, equity and sustainability. Integrated and inclusive models of engagement are needed to support further transformative efforts.

methodsThis article describes the Ecology of Engagement, an integrated model of engagement. The model posits that: (1) Health ecosystems include all members of society engaged in health; (2) Engagement is the 'together' piece of health and healthcare (e.g., caring for each other, preventing, researching, teaching and building policies together); (3) Health ecosystems and engagement are interdependent from each other, both influencing health, equity, resilience and sustainability.

conclusionThe Ecology of Engagement offers a common sketch to foster dialogue on engagement across health ecosystems. The model can drive cooperative efforts with patients and communities on health, equity, resilience and sustainability. PATIENTS AND PUBLIC CONTRIBUTION: Three of the authors have lived experiences as patients. One has a socially disclosed identity as a patient partner leader with extensive experience in engagement (individual care, education, research, management and policy). Two authors have significant experience as patients and informal caregivers, which were mobilized in descriptive illustrations. A fourth author has experience as an engaged citizen in health policy debates. All authors have professional lived experience in health (manager, researcher, health professional, consultant and educator). Six patient and caregiver partners with lived experience of engagement (other than the authors) contributed important revisions and intellectual content.

Indexed as

EcosystemHealth PolicyDelivery of Health CareHumanscommunity engagementecological modelshealth coproductionpatient and public involvepatient engagementtheory

Identifiers

PMID35923116
PMCPMC9615077
OpenAlexW4289731703

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.