Conceptions of patients and their roles in healthcare: insights from everyday practice and service improvement

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McDermott, Aoife Mary ; Pedersen, Anne Reff (2016)

Purpose: The purpose of this paper is two-fold. First, it sets the context for the special issue by considering conceptions of patients and their roles in service delivery and improvement. Second, it introduces the contributions to the special issue, and identifies thematic resonance. \ud Design/Methodology/Approach: The paper utilises a literature synthesis and thematic analysis of the special issue submissions. These emanated from the 9th International Organisational Behaviour in Healthcare Conference, hosted by Copenhagen Business School on behalf of the Learned Society for Studies in Organizing Healthcare (SHOC). \ud Findings: The articles evidence a range of perspectives on patients’ roles in healthcare. These range from their being subject to, a mobilising focus for, and active participants in service delivery and improvement. Building upon the potential patient roles identified, this editorial develops five ‘ideal type’ patient positions in healthcare delivery and improvement. These recognise that patients’ engagement with health care services is influenced both by personal characteristics and circumstances, which affect patients’ openness to engaging with health services, as well as the opportunities afforded to patients to engage, by organizations and their employees. \ud Originality/Value: The paper explores the relationally embedded nature of patient involvement in healthcare, inherent in the interdependence between patient and providers’ roles. The typology aims to prompt discussion regarding the conceptualisation patients’ roles in healthcare organisations, and the individual, employee, organisational and contextual factors that may help and hinder their involvement in service delivery and improvement. We close by noting four areas meriting further research attention, and potentially useful theoretical lenses.
  • References (20)
    20 references, page 1 of 2

    Bate, S.P. and Robert, G. (2006), “Experience-based design: From redesigning the system around the patient to co-designing services with the patient”, Quality and Safety in Health Care, Vol. 15, No. 5, pp. 307-310.

    Bate, P., and Robert, G. (2007), Bringing user experience to healthcare improvement: The concepts, methods and practices of experience-based design. Radcliffe Publishing.

    Berry, L. and Bendapudi, N. (2007), “Health Care: A Fertile Field for Service Research”, Journal of Service Research, Vol. 10, No. 2, pp. 111-122.

    Crawford, M. J., Rutter, D., Manley, C., Weaver, T., Bhui, K., Fulop, N., and Tyrer, P. (2002), “Systematic review of involving patients in the planning and development of health care”, British Medical Journal, Vol. 325, 1263, pp. 1-5.

    Coulter, A., and Ellins, J. (2006), Patient-focused interventions: A review of the evidence. The Health Foundation and The Picker Institute Europe, Quest for Quality and Improved Performance (QQUIP): London

    Edwards, A., & Elwyn, G. (2006), “Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision”, Health Expectations, Vol. 9, No. 4, pp. 307-320.

    Epstein, R. M., Franks, P., Fiscella, K., Shields, C. G., Meldrum, S. C., Kravitz, R. L., and Duberstein, P. R. (2005), “Measuring patient-centered communication in patientphysician consultations: theoretical and practical issues”, Social Science and Medicine, Vol. 61, No. 7, pp. 1516-1528.

    Ezziane, Z., Maruthappu, M., Gawn, L., Thompson, E. A., Athanasiou, T., and Warren, O. J. (2012), “Building effective clinical teams in healthcare”, Journal of Health Organization and Management, Vol. 26, No. 4, pp. 428-436.

    Ferlie, E., Fitzgerald, L., Wood, M., and Hawkins, C. (2005), “The nonspread of innovations: the mediating role of professionals”, Academy of Management Journal, Vol. 48, No. 1, pp. 117-134.

    Hamann, J., Langer, B., Winkler, V., Busch, R., Cohen, R., Leucht, S. and Kissling, W. (2006), “Shared decision-making for in-patients with schizophrenia”, Acta Psychiatrica Scandinavica, Vol. 114, No. 4, pp. 265-273.

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