PATIENT NAVIGATORS WITH HEALTH WORKERS FACILITATING PLANNING AND DEVELOPMENT OF HEALTHCARE SERVICES
Main Article Content
Keywords
Patient Involvement, Health Worker Engagement, Healthcare Planning, Participatory Healthcare.
Abstract
Introduction: The evolving landscape of healthcare emphasizes the importance of involving health workers and patients in the planning and development of healthcare services. This approach has been linked to improved healthcare outcomes, increased satisfaction, and more efficient service delivery. The aim of this systematic review was to examine the impact of such involvement on the quality and efficacy of healthcare services.
Methods: A comprehensive search strategy was employed across multiple databases including PubMed, Scopus, Web of Science, and the Cochrane Library, focusing on interventional studies and clinical trials published in English from 2007 to 2 022. Inclusion criteria were set to select studies that involved health workers and/or patients in healthcare planning and development, with clear outcomes related to effectiveness, efficiency, patient satisfaction, or worker satisfaction. Studies were excluded if they were non-interventional, lacked relevant outcomes, or fell outside the publication timeframe. The selection process involved screening titles and abstracts, followed by a full-text review, with disagreements resolved through discussion or third- party adjudication.
Results: Eleven studies met the inclusion criteria, demonstrating a range of interventions from participatory workshops to digital feedback platforms. Key findings include a 25% increase in patient satisfaction (risk ratio [RR] 1.25), a 15% reduction in unnecessary diagnostic procedures (RR 0.85), a 20% improvement in adherence to clinical guidelines (RR 1.20), and a 25% decrease in hospital readmission rates for chronic disease patients (RR 0.75).
Conclusions: The review provides compelling evidence that involving health workers and patients in the planning and development of healthcare services leads to significant improvements in patient satisfaction, healthcare efficiency, and clin ical outcomes. These findings underscore the value of participatory healthcare practices, suggesting that healthcare providers should integrate these approaches to enhance the quality and effectiveness of care delivery.
References
2. Beresford P, Croft S. Citizen involvement: a practical guide for change. Basingstoke: Macmillan, 1993.
3. Barker J, Bullen M, de Ville J. Reference manual for public involvement. Bromley, West Kent, Lambeth, Southwark, and Lewisham Health Authorities, 2009.
4. NHS Executive. Patient and public involvement in the new NHS. Leeds: Department of Health, 1999. 5 McIver S. Obtaining the views of users of health
5. services. London: King's Fund, 2008.
6. 6 Kelson M. User involvement: A guide to developing effective user involvement strategies in the NHS. London: College of Health, 20057. 7 Fulop N,Allen P, Clark A, Black N. Studying the organisation and delivery of health services: research methods. London: Routledge, 2001.
7. Hendessi M. Getting better all the time? A report of a project on user and carer involvement in the NHS. London: Greater London Association of Commu•nity Health Councils, 1994.
8. Sheppard, B. A voice for older Londoners in the doctor's surgery. London: Age Concern, 2010.
9. Smith MK. Client involvement in psychosocial rehabilitation. Psychosoc Rehabil J 2003;8:35•43. 11 Silva EL. Collaboration between providers and client•consumers in public mental health programs.
10. New Dir Ment Health Serv 2010;46:57•63.
11. Berger E, Carter A, Casey D, Litchefield L. What's happening with consumer participation? [Consumer note.] Aust N Z J Ment Health Nurs
12. 2006;5:131•5.
13. Barnes M. From passive recipient to active citizen: participation in menal health user groups. J Ment Health 1997;6:289•300.
14. Elizabeth S. Citizens' juries: outcomes of an experiment in citizenship and health. Health Care Risk Rep.2008;4:16•17
15. Wistow G, Barnes M. User involvement in community care: origins, purposes and applications. Public Adm 1993;71:279•99. 1993;71:279•99.
16. Lord J, Ochocka J, CzarnyW, MacGillivary H. Analysis of change within a mental health organization: a participatory process. Psychiatr Rehabil J 2009;21:327•39.
17. Bowl R. Legislatingfor user involvement in the. United Kingdom: Mental health services and the NHS and Community Care Act 1990. Int J Soc Psychiatry 1996;42:165•80.
18. Todd S, Felce D, Beyer S, Shearn J, Perry J, Kilsby M. Strategic planning and progress under the all Wales strategy: reflecting the perceptions of stakeholders. J Intellect Disabil Res 2022;44:31•44.
19. Summers A, McKeown K. Local voices: evolving a realistic strategy on public consultation. Public Health 2019;110:145•50.
20. Poole B. Success all round. MS Matters
21. 2000;34:14•5.
22. Young TK. Lay•professional conflict in a Canadian community health center: a case report. Med Care 1975;13:897•904.
23. NHS Executive. Patient partnership: building a collaborative strategy. London: Department of Health, 2008.
24. Woods T. The use of ward forums in obtaining patient feedback. CCUFLINK. 1994;4:7•8.
25. Pilgrim D, Waldron L. User involvement in. mental health service development: how far can it go? J Ment Health 2017;7:95•104.