Exploring power shifts as an enabler for a strengthened patient role in quality improvements: A Swedish survey study
Review article, 2021

Objectives
This study examined the relationship between professionals' perceptions of a strengthened role for the patient and of patient involvement in quality improvement (QI) and whether professionals' experiences in improvement science were a moderator on such a relationship.
Design
From a predominantly close-ended, 44-item questionnaire, 4 questions specifically concerning professionals′ perception on patient involvement in QI were analysed. Setting Three Swedish regions. Participants 155 healthcare professionals who had previously participated in courses in improvement science. Results The covariate patient involvement was significantly related to a perceived strengthened patient role. There was also a significant interaction effect between degree of patient involvement and professionals' experience in the area of improvement science on a strengthened patient role. The result shows that there is a relationship between the perceived level of patient involvement in improvements and professionals' perceptions of a strengthened patient role. In this study, the covariate, perceived patient involvement, was significantly related to experiences of more equal relationships between patients and healthcare professionals. There was also a significant interaction effect between the degree of patient involvement and professionals' experience in the area of improvement science, for a more equal relationship between patients and healthcare professionals. Conclusion Increased patient involvement in QI is a means of strengthening the patient role and supporting a more equal relation between patients and healthcare professionals. Furthermore, empirical evidence shows that the healthcare professionals' experiences in the area of improvement science support a strengthened patient role and a more equal power relationship, but for this to happen, the mindset of professionals is key. Future research is needed to capture and investigate the experiences from patients and relatives about being involved in QI in healthcare, and to study the effects on quality in care processes.

Patient participation

Quality improvement

Healthcare quality improvement

Author

Ida Gremyr

Chalmers, Technology Management and Economics, Service Management and Logistics

Mattias Elg

Linköping University

Erik Eriksson

Chalmers, Technology Management and Economics, Service Management and Logistics

Arni Halldorsson

Chalmers, Technology Management and Economics, Service Management and Logistics

Frida Smith

Regional Cancer Centre West

Chalmers, Technology Management and Economics, Service Management and Logistics

Susanne Gustavsson

Skaraborg Hospital

BMJ open quality

23996641 (eISSN)

Vol. 10 1 e001185

Subject Categories

Health Care Service and Management, Health Policy and Services and Health Economy

Nursing

DOI

10.1136/bmjoq-2020-001185

More information

Latest update

4/16/2021