Consumer input into health care: Time for a new active and comprehensive model of consumer involvement

Health Expect. 2018 Aug;21(4):707-713. doi: 10.1111/hex.12665. Epub 2018 Mar 7.

Abstract

Background: To ensure the provision of patient-centred health care, it is essential that consumers are actively involved in the process of determining and implementing health-care quality improvements. However, common strategies used to involve consumers in quality improvements, such as consumer membership on committees and collection of patient feedback via surveys, are ineffective and have a number of limitations, including: limited representativeness; tokenism; a lack of reliable and valid patient feedback data; infrequent assessment of patient feedback; delays in acquiring feedback; and how collected feedback is used to drive health-care improvements.

Objectives: We propose a new active model of consumer engagement that aims to overcome these limitations. This model involves the following: (i) the development of a new measure of consumer perceptions; (ii) low cost and frequent electronic data collection of patient views of quality improvements; (iii) efficient feedback to the health-care decision makers; and (iv) active involvement of consumers that fosters power to influence health system changes.

Keywords: consumer involvement; consumer participation; health care quality; quality improvement.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Community Participation / psychology*
  • Delivery of Health Care*
  • Humans
  • Quality Improvement*
  • Surveys and Questionnaires