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Pragmatism as a paradigm for patient-oriented research.

Brooke Allemang1, Kathleen Sitter1, Gina Dimitropoulos1,2

  • 1Department of Social Work, Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|November 8, 2021
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Summary

This study advocates for pragmatism as a research paradigm to enhance patient-oriented research (POR) in healthcare. By aligning POR with pragmatic values, research can better address complex health issues and improve outcomes.

Keywords:
paradigmpatient engagementpatient-oriented researchpragmatic researchpragmatismyouth engagement

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Area of Science:

  • Healthcare research methodology
  • Mixed methods research
  • Patient engagement strategies

Background:

  • Mixed methods research in healthcare often combines pragmatism and patient-oriented research (POR).
  • Pragmatism employs appropriate methods for complex social problems, while POR engages individuals with lived experience.
  • Limited literature explores the relationship between POR and pragmatism.

Purpose of the Study:

  • To explore the theoretical and epistemological alignment between POR and pragmatism.
  • To examine the synergies between POR and pragmatism in healthcare research.
  • To advocate for pragmatism as a guiding paradigm for conducting POR.

Main Methods:

  • A critical literature review was conducted.
  • The philosophical underpinnings of pragmatism were discussed.
  • Alignments between POR and pragmatism were identified based on democratic values, collaborative problem-solving, and social justice.

Main Results:

  • Pragmatism and POR share common ground in democratic values, collaborative approaches, and the pursuit of social justice.
  • The READY2Exit study (a mixed-methods POR case exemplar) illustrates the practical application of pragmatism in patient engagement.
  • Key implications and considerations for implementing POR within a pragmatic paradigm were outlined.

Conclusions:

  • Pragmatism offers a robust philosophical framework for conducting patient-oriented research.
  • Adopting a pragmatic paradigm can strengthen the process and outcomes of patient engagement in healthcare research.
  • Further research and practical guidance are needed to effectively integrate pragmatism into POR.