Koch Amelie, Brust Larissa, Weigl Matthias
Institute for Patient Safety (IfPS), University Hospital Bonn, Bonn, Germany.
Risk Manag Healthc Policy. 2024 Dec 19;17:3217-3226. doi: 10.2147/RMHP.S489522. eCollection 2024.
In order to obtain sustainable healthcare, engagement of patients in patient safety improvement is vital. Drawing upon a multi-perspective approach, this study aimed to investigate perspectives of patients and healthcare professionals on key implementation factors (ie, barriers and facilitators) for effective patient engagement (PE) in healthcare organizations to improve patient safety.
A two-round Delphi technique comprising semi-structured interviews and an online survey was applied to consolidate the individual perspectives of stakeholders and establish consensus on factors (expected, potential or experienced) that facilitate or mitigate successful implementation of PE in healthcare organizations (ie, all types, including hospital and outpatient medical practices). Adult, German-speaking experts in patient safety or PE (ie, with professional background or personal experience) were eligible to participate. Purposive and convenience sampling for inclusion of different healthcare professionals and patient representatives was established. Thirty-four panelists participated in data collection.
We identified eight key barriers and seven facilitators for effective patient engagement in healthcare organizations. Time constraints and perceived low effectiveness of patient engagement activities were deemed as most critical barriers. Supportive organizational culture, education and training opportunities, and clearly nominated responsibilities for patient feedback and engagement were rated as the most important facilitators. There were no statistically significant differences in the ratings between patient representatives and healthcare professionals.
Our findings contribute to a deeper understanding of real-world implementation factors for effective patient engagement in healthcare organizations in Germany to improve patient safety. Our insights may further inform recommendations for future development and implementation of effective patient involvement in healthcare organizations, especially for similar countries with low levels of PE.
German Clinical Trials Register (ID: DRKS00031837).
为了获得可持续的医疗保健服务，让患者参与到患者安全改善工作中至关重要。本研究采用多视角方法，旨在调查患者和医疗保健专业人员对于医疗保健机构中有效患者参与（PE）以改善患者安全的关键实施因素（即障碍和促进因素）的看法。
采用两轮德尔菲技术，包括半结构化访谈和在线调查，以整合利益相关者的个人观点，并就促进或阻碍医疗保健机构（即所有类型，包括医院和门诊医疗实践）成功实施PE的因素（预期、潜在或经验性因素）达成共识。具备患者安全或PE方面专业背景或个人经验的德语成年专家有资格参与。建立了目的抽样和便利抽样以纳入不同的医疗保健专业人员和患者代表。34名小组成员参与了数据收集。
我们确定了医疗保健机构中有效患者参与的八个关键障碍和七个促进因素。时间限制和患者参与活动的低成效被视为最关键的障碍。支持性的组织文化、教育和培训机会，以及明确指定的患者反馈和参与责任被评为最重要的促进因素。患者代表和医疗保健专业人员的评分没有统计学上的显著差异。
我们的研究结果有助于更深入地了解德国医疗保健机构中有效患者参与以改善患者安全的实际实施因素。我们的见解可能会为未来医疗保健机构有效患者参与的发展和实施提供进一步的建议，特别是对于患者参与水平较低的类似国家。
德国临床试验注册中心（ID：DRKS00031837）
