Jacobs Laurie M, Brindis Claire D, Hughes Dana, Kennedy Caitlin E, Schmidt Laura A
J Healthc Qual. 2018 May/Jun;40(3):139-146. doi: 10.1097/JHQ.0000000000000085.
Consumer engagement is increasingly emphasized in healthcare initiatives and has been a priority in healthcare reforms. Consumer engagement takes multiple forms, including increased involvement of consumers in their own care, in organizational design, and in broader policy decision-making processes. Determining the effectiveness of such involvement requires both effective measurement and empirical study, both of which have yet to be standardized or fully explored. In this review, we examine both existing measurement tools for consumer engagement and current empirical knowledge regarding the outcomes associated with each of three levels of consumer engagement. Although measurement and results at the level of direct care are more established, measurement of consumer engagement, let alone its effects at the organizational design or policy level, is less well developed. Building on our review, we make suggestions for how to fill the current gaps in understanding the measurement and outcomes of consumer engagement.
消费者参与在医疗保健举措中日益受到重视,并且一直是医疗改革的重点。消费者参与有多种形式,包括消费者更多地参与自身护理、组织设计以及更广泛的政策决策过程。确定这种参与的有效性需要有效的衡量和实证研究,而这两者都尚未标准化或得到充分探索。在本综述中,我们研究了现有的消费者参与衡量工具以及关于消费者参与三个层面各自相关结果的当前实证知识。尽管直接护理层面的衡量和结果更为成熟,但消费者参与的衡量,更不用说其在组织设计或政策层面的影响,发展程度较低。基于我们的综述,我们就如何填补当前在理解消费者参与的衡量和结果方面的空白提出建议。