Parker Rae, Nixon Jodie, El-Higzi Faiza, Lynch Melanie, Cox Ruth
Clinical Governance, Risk and Legal, Metro South Hospital and Health Service, Eight Mile Plains, Brisbane, Queensland, Australia
Clinical Governance, Risk and Legal, Metro South Hospital and Health Service, Eight Mile Plains, Brisbane, Queensland, Australia.
BMJ Open Qual. 2025 Jun 3;14(2):e003285. doi: 10.1136/bmjoq-2024-003285.
Consumer partnerships are a recent innovation in healthcare governance to diversify decision-making perspectives. These partnerships bring complexity necessitating comprehensive evaluation. This study proposes that evaluation tools should include the impact of healthcare governance partnerships. This study aimed to coproduce an impact evaluation tool for healthcare governance committee partnerships.
This study used a coproduced mixed methods cross-sectional design conducted in two phases. The first study phase included an online focus group and online survey to identify stakeholder expectations and needs for an impact evaluation design. The second study phase used an adapted Jandhyala Method to determine participant awareness of governance committee partnership impacts and consensus agreement to establish an impact evaluation survey. The development of governance committee partnership impact items was guided by a capability development framework for successful staff and consumer partnerships for quality improvement and the Engage with Impact Toolkit.
In phase one, staff (n=4) and consumer partners (n=3) provided recommendations to improve the development and acceptance of a governance committee partnership impact evaluation. Phase two was completed by 34 participants (>90% completion). An initial online survey generated 338 statements detailing broad governance committee partnership impacts. No statistically significant difference in the count of impacts by Engage with Impact Toolkit domains was found between staff and consumer partners. A second online survey resulted in a consensus ranking of 24 impact statements for inclusion. The highest consensus impact domains are knowledge, confidence and trust, equity and inclusivity and patient outcomes and experience.
This study pragmatically used the insights of expert staff and consumer partners to develop a prioritised list of survey items to evaluate the impact of healthcare governance committee partnering effectiveness. The resulting healthcare governance committee partnership impact evaluation item list has the potential to be used in other healthcare organisations.
消费者伙伴关系是医疗保健治理领域的一项新举措，旨在使决策视角多元化。这些伙伴关系带来了复杂性，需要进行全面评估。本研究提出评估工具应包括医疗保健治理伙伴关系的影响。本研究旨在共同制作一种用于医疗保健治理委员会伙伴关系的影响评估工具。
本研究采用两阶段的共同制作的混合方法横断面设计。第一阶段包括在线焦点小组和在线调查，以确定利益相关者对影响评估设计的期望和需求。第二阶段使用改良的詹迪亚拉方法来确定参与者对治理委员会伙伴关系影响的认识以及建立影响评估调查的共识。治理委员会伙伴关系影响项目的制定以成功的员工与消费者伙伴关系促进质量改进的能力发展框架和“参与影响工具包”为指导。
在第一阶段，工作人员（n = 4）和消费者伙伴（n = 3）提供了建议，以改进治理委员会伙伴关系影响评估的制定和接受度。第二阶段由34名参与者完成（完成率> 90%）。初步在线调查产生了338条陈述，详细说明了治理委员会伙伴关系的广泛影响。在工作人员和消费者伙伴之间，未发现按“参与影响工具包”领域划分的影响数量存在统计学上的显著差异。第二次在线调查得出了24条影响陈述的共识排名，以供纳入。最高的共识影响领域是知识、信心和信任、公平与包容性以及患者结果和体验。
本研究实际运用了专家工作人员和消费者伙伴的见解，制定了一份优先调查项目清单，以评估医疗保健治理委员会伙伴关系有效性的影响。由此产生的医疗保健治理委员会伙伴关系影响评估项目清单有可能在其他医疗保健组织中使用。
