Stakeholder engagement in healthcare research in India - A systematic review.

BACKGROUND

Stakeholder engagement is increasingly crucial in healthcare research, particularly in diverse and complex settings such as India. Stakeholder engagement in health research is about collaborating with key parties such as patients, healthcare providers and policymakers to ensure the research is relevant and impactful by addressing real-world needs, thereby enhancing its quality and effect on healthcare practices.

AIM

The purpose of this study was to summarize the evidence on stakeholder engagement in healthcare research and its influence on research outcomes and healthcare policies in India.

METHODS

The evaluation was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A systematic search was conducted in PubMed, SCOPUS, ProQuest, EMBASE, Web of Science, CINAHL Indian Citation Index and J-Gate, focussing on stakeholder involvement in healthcare settings in hospitals and communities in India. Various research methodologies were employed, with studies not centred on healthcare stakeholder engagement or unrelated sectors being excluded. Tools such as the Critical Appraisal Skills Programme checklist for qualitative studies and the mixed methods appraisal tool were used to evaluate the quality of the studies. Data synthesis was carried out using the descriptive/narrative synthesis approach.

RESULTS

We included 25 articles on the basis of our eligibility criteria. These articles comprised reviews, theories of change, quantitative studies, reports, mapping, commentaries, conference proceedings, qualitative studies, experience papers and mixed methods research. The review examined different types and methods of engaging stakeholders in healthcare research projects, evaluated their influence on evidence-based practice, and investigated their relevance to reaching "hard-to-reach" populations. Overcoming financial, time, knowledge and logistical barriers and gaining support from international and governmental bodies can lead to more inclusive research with a significant impact.

CONCLUSIONS

Findings suggest that stakeholder engagement contributes to more contextually relevant and ethically grounded research, though challenges related to power dynamics, resource allocation and inclusivity remain prevalent. The review concludes by providing recommendations for enhancing stakeholder engagement practices in future healthcare research in India, emphasizing the need for capacity-building and inclusive frameworks that ensure diverse voices are represented.