Advancing Patient Engagement in Health Service Improvement: What Can the Evaluation Community Offer?

  • Nathalie Gilbert University of Ottawa, Faculty of Education
  • J. Bradley Cousins University of Ottawa, Faculty of Education and Centre for Research on Educational and Community Services
Keywords: collaborative approaches to evaluation, health quality improvement, par-ticipatory evaluation, patient-centred care, patient engagement, program evaluation

Abstract

Despite efforts for greater patient engagement in health care quality improvement, evaluation practice in this context remains mostly conventional and noncollaborative. Following an explication of this problem we discuss relevant theory and research on patient-centred care (PCC) and patient engagement and then con-sider potential benefits of collaborative and participatory approaches to evaluation of such initiatives. We argue that collaborative approaches to evaluation (CAE) are logically well-suited to the evaluation of PCC initiatives and then suggest contribu-tions that the evaluation community can offer to help advance patient engagement. Finally, we outline a research agenda that identifies important areas that are in need of further examination.

Malgré les efforts consentis pour mieux faire participer les patients dans l’amélioration de la qualité des soins de santé, la pratique d’évaluation dans ce con-texte reste généralement conventionnelle et non collaborative. Après avoir décrit le problème, nous discutons des théories et des recherches pertinentes dans le domaine des soins axés sur le patient et de son engagement, avant de nous pencher sur les avantages possibles des approches collaboratives et participatives en évaluation pour de telles initiatives. Nous avançons que les approches collaboratives en évalu-ation sont particulièrement adaptées à l’évaluation d’initiatives de soins axés sur les patients et suggérons des moyens que la communauté en évaluation contribue à la promotion de la participation des patients. Finalement, nous identifions des priorités de recherche dans des secteurs d’importance où une réflexion approfondie est nécessaire.

Author Biographies

Nathalie Gilbert, University of Ottawa, Faculty of Education

Nathalie Gilbert is a Ph.D. candidate at the Faculty of Education, University of Ottawa. Her research interests are in collaborative approaches to evaluation and she is currently conducting research examining the process and impacts of engaging patients and their families in the planning and evaluation of health services.

J. Bradley Cousins, University of Ottawa, Faculty of Education and Centre for Research on Educational and Community Services

J. Bradley Cousins is Professor Emeritus of Evaluation at the Faculty of Education, University of Ottawa.  Cousins’ main interests in program evaluation include participatory and collaborative approaches, use, and capacity building. Throughout his career he has published many articles and books on evaluation, received several awards for his work and served as the Editor of the Canadian Journal of Program Evaluation from 2002 to 2010.

Published
2017-12-04