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

Healthcare quality improvement

Patient participation

Quality improvement

Författare

Ida Gremyr

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Mattias Elg

Linköpings universitet

Erik Eriksson

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Arni Halldorsson

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Frida Smith

Regionalt cancercentrum Väst

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Susanne Gustavsson

Skaraborgs Sjukhus

BMJ open quality

23996641 (eISSN)

Vol. 10 1 e001185

Ämneskategorier

Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Omvårdnad

Styrkeområden

Produktion

Hälsa och teknik

DOI

10.1136/bmjoq-2020-001185

PubMed

33648954

Mer information

Senast uppdaterat

2021-11-02