BMJ  2007;335:24-27 (7 July), doi:10.1136/bmj.39246.581169.80

Analysis

Analysis

Effectiveness of strategies for informing, educating, and involving patients

Angela Coulter, chief executive1, Jo Ellins, project manager (organisational development)2

1 Picker Institute Europe, King's Mead House, Oxford OX1 1RX , 2 The NHS Centre for Involvement, Vanguard Centre, University of Warwick, Coventry CV4 7AL

Correspondence to: angela.coulter@pickereurope.ac.uk

Evidence that strategies to strengthen patient engagement are effective is substantial, argue Angela Coulter and Jo Ellins, but any strategy to reduce health inequalities must promote health literacy

The first 150 words of the full text of this article appear below.

Policymakers increasingly believe that encouraging patients to play a more active role in their health care could improve quality, efficiency, and health outcomes. But critics have dismissed talk about patient engagement and patient centred care as political correctness—a misplaced concern with the "touchy feely" aspects of health care, with no scientific basis and little relevance to the quest for excellence in clinical care. Who is right? To what extent is the planned shift towards greater patient engagement supported by robust research evidence?

Patient focused quality interventions recognise and try to support patients in actively securing appropriate, effective, safe, and responsive health care. Initiatives may aim to engage patients in their own or their family's individual clinical care, or they may try to involve the public in improving the responsiveness of health services. This article focuses on the first of these two initiatives (box 1).




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