TY - JOUR

T1 - Assessing the impact of patient-involvement healthcare strategies on patients, providers, and the healthcare system

T2 - A systematic review

AU - Miller, Thomas

AU - Reihlen, Markus

N1 - Publisher Copyright: © 2023 Elsevier B.V.

PY - 2023/5/1

Y1 - 2023/5/1

N2 - Background: Patient involvement has become an important and lively field of research, yet existing findings are fragmented and often contested. Without a synthesis of the research field, these findings are of limited use to scholars, healthcare providers, or policy-makers. Objective: Examine the body of knowledge on patient involvement to determine what is known, contested, and unknown about benefits, risks, and effective implementation strategies. Patient Involvement: Patients were not involved. Methods: Systematic literature review of 99 journal articles using a conceptual model integrating three levels: health systems, health providers, and patients. We extracted individual research findings and organized them into the structure of our model to provide a holistic picture of patient involvement. Results: The review highlights overlaps and conflicts between various patient involvement approaches. Our results show benefits for individual patients and the health system as a whole. At the provider level, however, we identified clear barriers to patient involvement. Discussion: Patient involvement requires collaboration among health systems, healthcare providers, and patients. We showed that increasing patient responsibility and health literacy requires policy-maker interventions. This includes incentives for patient education by providers, adapting medical education curricula, and building a database of reliable health information and decision support for patients. Furthermore, policies supporting a common infrastructure for digital health data and managed patient data exchange will foster provider collaboration. Practical Value: Our review shows how an approach integrating health systems, healthcare providers, and patients can make patient involvement more effective than isolated interventions. Such systematic patient involvement is likely to improve population health literacy and healthcare quality.

AB - Background: Patient involvement has become an important and lively field of research, yet existing findings are fragmented and often contested. Without a synthesis of the research field, these findings are of limited use to scholars, healthcare providers, or policy-makers. Objective: Examine the body of knowledge on patient involvement to determine what is known, contested, and unknown about benefits, risks, and effective implementation strategies. Patient Involvement: Patients were not involved. Methods: Systematic literature review of 99 journal articles using a conceptual model integrating three levels: health systems, health providers, and patients. We extracted individual research findings and organized them into the structure of our model to provide a holistic picture of patient involvement. Results: The review highlights overlaps and conflicts between various patient involvement approaches. Our results show benefits for individual patients and the health system as a whole. At the provider level, however, we identified clear barriers to patient involvement. Discussion: Patient involvement requires collaboration among health systems, healthcare providers, and patients. We showed that increasing patient responsibility and health literacy requires policy-maker interventions. This includes incentives for patient education by providers, adapting medical education curricula, and building a database of reliable health information and decision support for patients. Furthermore, policies supporting a common infrastructure for digital health data and managed patient data exchange will foster provider collaboration. Practical Value: Our review shows how an approach integrating health systems, healthcare providers, and patients can make patient involvement more effective than isolated interventions. Such systematic patient involvement is likely to improve population health literacy and healthcare quality.

KW - Patient autonomy

KW - Patient involvement

KW - Patient-centered care

KW - Shared decision making

KW - Healthcare strategy

KW - Management studies

UR - http://www.scopus.com/inward/record.url?scp=85147927705&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/e591806d-1d2a-320c-8923-db5e6a0e3a49/

U2 - 10.1016/j.pec.2023.107652

DO - 10.1016/j.pec.2023.107652

M3 - Scientific review articles

C2 - 36804578

VL - 110

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

M1 - 107652

ER -