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Patient involvement in general practice care: a pragmatic framework.

Michel Wensing1, Richard Baker

  • 1Centre for Quality of Care Research, Nijmegen University Medical Centre, St Radboud, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. m.wensing@wok.umcn.nl

The European Journal of General Practice
|November 13, 2003
PubMed
Summary

This paper introduces a framework for patient involvement in general practice care, emphasizing patient ability and willingness to guide their healthcare decisions. New approaches are needed to overcome implementation challenges in healthcare settings.

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Area of Science:

  • Health Services Research
  • Patient Engagement Studies
  • General Practice Innovation

Background:

  • Patient involvement in healthcare decision-making is increasingly recognized as crucial.
  • Defining and implementing patient involvement across different care levels presents challenges.
  • Existing approaches may not fully address the complexities of patient engagement.

Purpose of the Study:

  • To present a pragmatic framework for guiding decisions on patient involvement in general practice.
  • To define patient involvement and its potential levels within the healthcare system.
  • To explore considerations influencing the extent and nature of patient engagement.

Main Methods:

  • Conceptual framework development based on literature and practical considerations.

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  • Analysis of factors influencing patient involvement, including aims, decision types, and patient characteristics.
  • Discussion of patient ability and willingness as determinants of involvement level.

    • Main Results:

    • A framework is proposed to structure decisions regarding patient involvement.
    • Patient involvement can occur at multiple levels: patient-clinician, provider population, and regional/national.
    • Key considerations for involvement include its intrinsic value versus consequential benefits, decision type, and patient attributes.

    Conclusions:

    • Patient involvement in general practice requires a structured approach to decision-making.
    • Tailoring involvement to patient capacity and willingness is essential for effective implementation.
    • Overcoming obstacles necessitates novel strategies for integrating patient engagement into routine healthcare.