Public Service Research Group, University of New South Wales, PO Box 7196, Canberra, BC, 2610, Australia.
Health Res Policy Syst. 2019 Jul 22;17(1):71. doi: 10.1186/s12961-019-0471-9.
As many developed health systems grapple with the reorientation of their systems to those that are commissioning led, consumer engagement has emerged as an important theme. Despite many governments asserting the importance of consumer engagement in commissioning, an evidence base is yet to be developed to support this approach. This paper identifies the challenges and gaps in the literature relating to consumer engagement and commissioning, before setting out five potential solutions to these challenges. Ultimately, consumer engagement needs clarity of purpose and any approach should be tailored to context. Effective client involvement needs time and investment. To embark on such a process without this effort can be counterproductive.
随着许多发达国家的医疗体系努力将其重新定位为以委托代理为主导的体系，消费者参与已成为一个重要主题。尽管许多政府都强调了消费者参与委托代理的重要性，但目前仍缺乏支持这种方法的证据基础。本文在提出解决这些挑战的五个潜在方案之前，确定了文献中与消费者参与和委托代理相关的挑战和差距。最终，消费者参与需要明确目的，任何方法都应根据具体情况进行调整。有效的客户参与需要时间和投资。如果没有这些努力就开始这样的过程可能会适得其反。
