Exploring the evidence base of patient involvement in the management of health care services
Article first published online: 10 APR 2008
© 2008 The Author
Journal of Nursing Management
Volume 16, Issue 4, pages 452–462, May 2008
How to Cite
HAIGH, C. A. (2008), Exploring the evidence base of patient involvement in the management of health care services. Journal of Nursing Management, 16: 452–462. doi: 10.1111/j.1365-2834.2008.00865.x
- Issue published online: 10 APR 2008
- Article first published online: 10 APR 2008
- Accepted for publication: 18 January 2008
- evidence base;
- service users
Aim This paper aims to explore the evidence base of patient involvement in the management of health care services.
Background It has been suggested that, as well as acknowledging the role that service users could play in deciding their own treatment, they should also be involved in the managerial aspects of health service delivery. However, there is no robust evidence base to support user involvement either in terms of patient preference or in terms of improved service outcomes.
Methods Seven databases were searched using the search terms ‘user involvement’ and ‘service management’. Terms were adjusted for each database to maximize the number of hits. Each paper was graded using the sophisticated typology developed by the UK Department of Health.
Results Four key issues emerged surrounding organizational power, shared meaning, liaison and user contribution.
Conclusions There is a reasonable body of robust qualitative evidence surrounding user involvement in health service management but a disappointing lack of quantitative studies or mixed methods approaches.
Implications for nursing management Using the emergent messages will assist service mangers in enhancing user/provider collaborations.