Evidence map›Paper›PMID 38229426›Full record

ArticleQualitative health research2024

From a Single Voice to Diversity: Reframing 'Representation' in Patient Engagement.

Brett Scholz, Lucy Kirk, Terri Warner, Lauren O'Brien, Zsuzsoka Kecskes, Imogen Mitchell

Abstract read
In one paragraph

Article in Qualitative health research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Frameworks for Action: A Scoping Review of Organisational Patient Engagement Models in Healthcare.The International journal of health planning and management · 2026
    Article
  4. Article
  5. Constructs, Predictive Factors and Measures: Insights From the Mental Health in the Moment (MHIM) Co-Production Panel.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Coproducing an Ecological Momentary Assessment Measurement Burst Mental Health Study With Young People: The MHIM Coproduction Protocol.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  14. Article
  15. Involving Knowledge Users in Health Services Research: Collective Reflections and Learning From a National Evaluation of Recurrent Miscarriage Services.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  16. The Perspectives of Healthcare Professionals and Managers on Patient Involvement in Care Pathway Development: A Discourse Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  17. 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

6 authors.

Brett ScholzSchool of Medicine and Psychology, The Australian National University, Canberra, ACT, Australia.ORCID 0000-0003-2819-994X
Lucy KirkSchool of Medicine and Psychology, The Australian National University, Canberra, ACT, Australia.
Terri WarnerSchool of Medicine and Psychology, The Australian National University, Canberra, ACT, Australia.
Lauren O'BrienACT Disability, Aged and Carer Advocacy Service, Canberra, ACT, Australia.
Zsuzsoka KecskesSchool of Medicine, University of Wollongong, Wollongong, NSW, Australia.
Imogen MitchellSchool of Medicine and Psychology, The Australian National University, Canberra, ACT, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been a growing emphasis on consumer representation in the development of health policy, services, research, and education. Existing literature has critiqued how discourses of representativeness can disempower consumers working in health systems. The context of the current study is consumer engagement in the development of COVID-19 triage policy and practice in a local health service. Consumer engagement has often been an afterthought in the COVID response, with few examples of consumers in agenda-setting or decision-making roles. In the Australian Capital Territory, 26 consumer, carer, and community groups worked together with academics and clinicians to develop these principles. Interviews were conducted with stakeholders (including consumers, clinicians, and other health professionals) to evaluate the development of triage principles. A discursive psychological approach to analysis was used to explore participants' understandings about and constructions of consumers being representative (or not) and how this may reproduce power imbalances against consumers. The results explore two distinct ways in which participants talked about consumer representativeness: the first drawing on rhetoric about consumers as lay members of the public (as distinct from being professionally engaged in the health sector), and the second in terms of consumer representatives being diverse and having intersectional identities and experiences. Expectations about consumers to be representative of the general population may reproduce traditional power imbalances and silence lived experience expertise. These power imbalances may be challenged by a shift in the way representativeness is conceptualised to requiring health services to seek out diverse and intersectionally marginalised consumers.

Indexed as

COVID-19Patient ParticipationSARS-CoV-2Australian Capital TerritoryCommunity ParticipationCultural DiversityFemaleHealth PolicyHumansInterviews as TopicMalePandemicsQualitative ResearchTriageconsumer involvementconsumer leadershipconsumer representationlived experience leadershippatient and public involvementservice user involvement

Identifiers

PMID38229426
PMCPMC11487870

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.