ArticleBMJ open2024
Using the Power Wheel as a transformative tool to promote equity through spaces and places of patient engagement.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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.
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Who cites it
17 citing papers in PubMed, 15 citations in OpenAlex.
- 'Working Together to Meet in the Middle'. A Qualitative Descriptive Study of Power Dynamics in Lived Experience and Family Engagement in Mental Health and Substance Use Health Research.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Ripple effects of a patient & health-system partnered engagement project: a co-developed protocol.Research involvement and engagement · 2026Review
- Shifting power: co-developing a framework for equity in healthcare.BMC health services research · 2026Article
- A paradigm shift for health equity in implementation science.BMC health services research · 2026Review
- A meta-review of patient engagement, shared decision-making, and factors influencing equity-deserving populations' participation in clinical trials.Research involvement and engagement · 2026Review
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- Article
- A case study of partnership in practice: challenges and insights in the development of an academic-community coalition "The Migrant Health Community Research Network".Research involvement and engagement · 2025Article
- Charters in Patient-Engaged Research: A Scoping Review of Current Evidence.Public health challenges · 2025Review
- Article
- Critical patient-oriented research: a fundamental shift in patient engagement.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Improving the reporting on health equity in observational research (STROBE-Equity): extension checklist and elaboration.BMJ (Clinical research ed.) · 2025Article
- Enhancing patient engagement in cancer research: a focus on patient-centric approaches to scientific discovery.Molecular oncology · 2025Article
- Mobilizing the Power of Lived/Living Experiences to Improve Health Outcomes for all.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Improving Digital Cancer Care for Older Black Adults: Qualitative Study.Journal of medical Internet research · 2025Article
- Leveraging public engagement to improve healthcare quality: The role of community and stakeholder engagement in Colombia's National Quality of Care Strategy.PLOS global public health · 2025Article
- Advancing Equity in Breast Cancer Care Through Patient and Public Involvement and Engagement.Cancer control : journal of the Moffitt Cancer CenterReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient engagement is the active collaboration between patient partners and health system partners towards a goal of making decisions that centre patient needs-thus improving experiences of care, and overall effectiveness of health services in alignment with the Quintuple Aim. An important but challenging aspect of patient engagement is including diverse perspectives particularly those experiencing health inequities. When such populations are excluded from decision-making in health policy, practice and research, we risk creating a healthcare ecosystem that reinforces structural marginalisation and perpetuates health inequities. APPROACH: Despite the growing body of literature on knowledge coproduction, few have addressed the role of power relations in patient engagement and offered actionable steps for engaging diverse patients in an inclusive way with a goal of improving health equity. To fill this knowledge gap, we draw on theoretical concepts of power, our own experience codesigning a novel model of patient engagement that is equity promoting, Equity Mobilizing Partnerships in Community, and extensive experience as patient partners engaged across the healthcare ecosystem. We introduce readers to a new conceptual tool, the Power Wheel, that can be used to analyse the interspersion of power in the places and spaces of patient engagement.
conclusionAs a tool for ongoing praxis (reflection +action), the Power Wheel can be used to report, reflect and resolve power asymmetries in patient-partnered projects, thereby increasing transparency and illuminating opportunities for equitable transformation and social inclusion so that health services can meet the needs and priorities of all people.
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Registered trials
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.