Please use this identifier to cite or link to this item:
Title: Optimizing patient involvement in quality improvement.
Authors: Armstrong, Natalie
Herbert, Georgia
Aveling, Emma-Louise
Dixon-Woods, Mary
Martin, Graham
First Published: 3-Feb-2013
Publisher: Blackwell Publishing
Citation: Health Expectations, 2013, forthcoming
Abstract: INTRODUCTION: Patient and public involvement in healthcare planning, service development and health-related research has received significant attention. However, evidence about the role of patient involvement in quality improvement work is more limited. We aimed to characterize patient involvement in three improvement projects and to identify strengths and weaknesses of contrasting approaches. METHODS: Three case study quality improvement projects were purposively sampled from a broader programme. We used an ethnographic approach involving 126 in-depth interviews, 12 weeks of non-participant observations and documentary analysis. Data analysis was based on the constant comparative method. RESULTS: The three projects differed in the ways they involved patients in their quality improvement work, including their rationales for including patients. We characterized three very different models of patient involvement, which were each influenced by project context. Patients played distinctive roles across the three projects, acting in some cases as intermediaries between the wider patient community and clinicians, and sometimes undertaking persuasive work to convince clinicians of the need for change. We identified specific strategies that can be used to help ensure that patient involvement works most effectively and that the enthusiasm of patients to make a difference is not dissipated. CONCLUSION: Patient involvement in quality improvement work needs careful management to realize its full potential.
DOI Link: 10.1111/hex.12039
ISSN: 1369-6513
eISSN: 1369-7625
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2013 Blackwell Publishing Ltd. This article is published under the Online Open option, which permits posting of the published PDF in the author's institutional repository immediately on publication. The definitive version is available at
Appears in Collections:Published Articles, Dept. of Health Sciences

Files in This Item:
File Description SizeFormat 
hex12039.pdfPublished (publisher PDF)121.48 kBAdobe PDFView/Open

Items in LRA are protected by copyright, with all rights reserved, unless otherwise indicated.