Patient‐mediated interventions to improve professional practice
Información
- DOI:
- https://doi.org/10.1002/14651858.CD012472Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 13 diciembre 2016see what's new
- Tipo:
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- Intervention
- Etapa:
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- Protocol
- Grupo Editorial Cochrane:
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Grupo Cochrane de Práctica y organización sanitaria efectivas
- Copyright:
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- Copyright © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
Designing the protocol: MSF
Coordinating the protocol: MSF
Designing search strategies: MSF, MJ
Writing the protocol: MSF
Providing general advice on the protocol: TKD, AF, SAF, HS, MJ
Sources of support
Internal sources
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Department for Evidence Synthesis, Norwegian Institute of Public Health, Oslo, Norway.
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Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo, Norway.
External sources
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No sources of support supplied
Declarations of interest
Marita S Fønhus: none known.
Therese K Dalsbø: none known.
Marit Johansen: none known.
Atle Fretheim: none known.
Helge Skirbekk: none known.
Signe A Flottorp: none known.
Acknowledgements
We thank Mette Haaland‐Øverby from Norwegian National Advisory Unit on Learning and Mastery in Health for her consumer input on the protocol. We would like to thank Elizabeth J Paulsen from the Cochrane Effective Practice and Organisation of Care (EPOC) Group, for her support and expertise in editing and submitting the protocol. We are grateful to EPOC Editor Andy Oxman and the peer‐reviewers for providing insightful comments and suggestions to improve this protocol.
The Norwegian Satellite of the EPOC Group receives funding from the Norwegian Agency for Development Cooperation (Norad), via the Norwegian Institute of Public Health to support review authors in the production of their reviews.
Version history
| Published | Title | Stage | Authors | Version |
| 2018 Sep 11 | Patient‐mediated interventions to improve professional practice | Review | Marita S Fønhus, Therese K Dalsbø, Marit Johansen, Atle Fretheim, Helge Skirbekk, Signe A. Flottorp | |
| 2016 Dec 13 | Patient‐mediated interventions to improve professional practice | Protocol | Marita S Fønhus, Therese K Dalsbø, Marit Johansen, Atle Fretheim, Helge Skirbekk, Signe Flottorp | |
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
- *Patient Education as Topic;
- *Patient Reported Outcome Measures;
- *Professional‐Patient Relations;
- *Quality Improvement;
- Decision Support Techniques;
- Patient Participation [methods, statistics & numerical data];
- Patient Satisfaction [statistics & numerical data];
- Professional Practice [*standards];
- Quality of Health Care [*standards];
- Randomized Controlled Trials as Topic;
Medical Subject Headings Check Words
Humans;
PICO
| Examples of different types of patient‐mediated interventions | Possible mechanisms of action | How it might have positive effects | How it might have adverse effects |
| Patient information where patients are informed about recommended care | Information to patient from others → impact on healthcare professionals' performance | Giving recommendations or evidence to patients might lead them to ask for recommended care, and professionals might respond by providing it. | Healthcare professionals might feel threatened by this or disagree with the information given to patients. Patients might become distrustful of the healthcare professionals. |
| Patient education/training/counselling to increase patients' knowledge about their condition | Activation of patient by others → impact on healthcare professionals' performance | Education/training/counselling to increase patients' knowledge about their condition, which can increasing their self‐efficacy and self‐care skills. This in turn, might encourage patients to get more involved in decisions about their treatment and management and professionals might respond by providing recommended healthcare. | Healthcare professionals might feel threatened by this or disagree with the patient. It might increase healthcare professionals' burden if they need to spend more time finding answers to patients' questions. Patients might feel more uncomfortable if they have more questions but do not feel comfortable asking them. Patients might not like the answers they are given. This might lead to longer consultations without measurable improvements in the quality of care. |
| Patient feedback about clinical practice (collecting information from patients and giving it to professionals before, during or after an encounter) | Information to healthcare professionals from patients → impact on healthcare professionals' performance | Clinical performance feedback from patients might ensure that professionals get important information that they might otherwise not have received. This information might prompt professionals to improve their practice and provide recommended healthcare. | This might distract healthcare professionals from focusing on other things or lead to longer consultations without measurable improvements in the quality of care, if the information that is collected turns out not to be important. |
| Patient decision aids to ensure that the choices about treatment and management reflect recommended care and the patients' values and preferences | Activation of patient by others → impact on healthcare professionals' performance | Giving recommendations or evidence to patients and encouraging them to engage with their own values and preferences for treatment options might encourage healthcare professionals to provide recommended healthcare. | Healthcare professionals might feel threatened by this or disagree with the patient. It might increase healthcare professionals' burden if they need to spend more time finding answers to patients' questions. Patients might feel more uncomfortable if they have more questions but do not feel comfortable asking them. Patients might not like the answers they are given. This might lead to longer consultations without measurable improvements in the quality of care. |
| Patients, or patient representatives, being members of a committee or board | Information to healthcare professionals from patients → impact on healthcare professionals' performance | Patients being part of a prioritisation or agenda deciding process at the health system level might influence professional practice and result in giving patients the recommended healthcare | Healthcare professionals on the committee or board might feel threatened by this or disagree with the patients' prioritisation or decisions. This might in turn, lead to poor implementation of recommendations or guidelines made within this format. |
| Patient‐led training or education of healthcare professionals | Information and/or activation of healthcare professionals by patients → impact on healthcare professionals' performance | Patients being part of the education or training of healthcare professional might influence professional practice and result in providing recommended healthcare | Healthcare professionals might feel threatened by this or disagree with the patient trainer or educator. This might result in non‐adherence to the care recommended in this training or education. |
