Kelson M
College of Health, London, UK.
J Eval Clin Pract. 1996 May;2(2):97-109. doi: 10.1111/j.1365-2753.1996.tb00034.x.
There have been considerable political and organizational moves to involve 'consumers' (patients, carers, service users, potential users, local communities and the public at large) in the provision, planning and monitoring of health services. Such developments beg the question 'what constitutes good practice in user involvement?'. Taking user views into account relates not only to obtaining feedback on 'hotel' aspects of care (issues such as food and cleanliness) but also to the potential for patient input to clinical audit and the standards by which care itself is measured. Recent policy statements specifically advocate involving users in the process and product of clinical audit. In practice, 'involvement' has meant anything from passing on information to full and active participation in partnership with professionals. This paper outlines some of the issues raised in the published literature on user involvement in clinical audit. Suggesting that real involvement refers to users as active participants, not passive recipients, the paper documents the increasing policy commitment to user involvement and considers issues that influence how the rhetoric is put into practice.
在让“消费者”（患者、护理人员、服务使用者、潜在使用者、当地社区及广大公众）参与医疗服务的提供、规划和监督方面，已经有了相当多的政治和组织行动。这样的发展引发了一个问题：“在用户参与方面，什么构成了良好实践？”考虑用户的观点不仅涉及获得对护理“酒店式”方面（如食物和清洁等问题）的反馈，还涉及患者参与临床审计以及衡量护理本身的标准的可能性。最近的政策声明特别提倡让用户参与临床审计的过程和成果。在实践中，“参与”意味着从传递信息到与专业人员建立全面、积极的伙伴关系并积极参与等各种情况。本文概述了已发表文献中关于用户参与临床审计所提出的一些问题。该论文指出真正的参与是指用户作为积极参与者而非被动接受者，并记录了对用户参与的政策承诺不断增加的情况，同时考虑了影响如何将这些言辞付诸实践的问题。
