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Scientific article
English

Patient participation: current knowledge and applicability to patient safety

Contributors

Longtin, Yves; Sax, Hugo; Leape, L. L.; Sheridan, S. E.; Donaldson, Liam; Pittet, Didier

Published in

Mayo Clinic proceedings, vol. 85, no. 1, p. 53-62

Publication date

2010

Abstract

Patient participation is increasingly recognized as a key component in the redesign of health care processes and is advocated as a means to improve patient safety. The concept has been successfully applied to various areas of patient care, such as decision making and the management of chronic diseases. We review the origins of patient participation, discuss the published evidence on its efficacy, and summarize the factors influencing its implementation. Patient-related factors, such as acceptance of the new patient role, lack of medical knowledge, lack of confidence, comorbidity, and various sociodemographic parameters, all affect willingness to participate in the health care process. Among health care workers, the acceptance and promotion of patient participation are influenced by other issues, including the desire to maintain control, lack of time, personal beliefs, type of illness, and training in patient-caregiver relationships. Social status, specialty, ethnic origin, and the stakes involved also influence patient and health care worker acceptance. The London Declaration, endorsed by the World Health Organization World Alliance for Patient Safety, calls for a greater role for patients to improve the safety of health care worldwide. Patient participation in hand hygiene promotion among staff to prevent health care-associated infection is discussed as an illustrative example. A conceptual model including key factors that influence participation and invite patients to contribute to error prevention is proposed. Further research is essential to establish key determinants for the success of patient participation in reducing medical errors and in improving patient safety.

Keywords

  • Chronic Disease
  • Handwashing
  • Health Services Research
  • Humans
  • Medical Errors/ prevention & control
  • Models, Theoretical
  • Patient Care Planning
  • Patient Participation
  • Physician-Patient Relations
  • Professional-Patient Relations
  • Role

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

LONGTIN, Yves et al. Patient participation: current knowledge and applicability to patient safety. In: Mayo Clinic proceedings, 2010, vol. 85, n° 1, p. 53–62. doi: 10.4065/mcp.2009.0248

Main files (1)

Article

Identifiers

Journal ISSN

0025-6196
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2downloads

Technical informations

Creation

21/06/2010 10:25:19

First validation

21/06/2010 10:25:19

Update

14/03/2023 15:44:37

Status update

14/03/2023 15:44:37

Last indexation

29/10/2024 15:14:36
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