Health service provider views on measuring patient involvement in healthcare: an interview study with researchers, clinicians, managers, and policymakers

Abstract

Abstract Background Strategies aimed at promoting patient involvement vary in purpose across different healthcare settings and are assessed using a wide range of outcomes. However, there is no consensus on the most appropriate measurement tools or ways to evaluate patient involvement initiatives. This qualitative study aimed to explore the perspectives of stakeholders from micro, meso, and macro levels within the Danish healthcare system on patient involvement and its measurement. MethodsThis descriptive, explorative study employed semi-structured interviews with open-ended questions to elicit participants’ views and experiences of patient involvement and measurement tools. A purposeful sample of participants was identified, to include decision makers, researchers, and health professionals (n=20) with experiences of patient involvement in healthcare at micro, meso, and macro levels across Danish organizations. Data underwent reflexive thematic analysis. Results Three main themes were identified: 1) Determining the purpose of patient involvement and measurement alignment; 2) Reflecting on the qualities, fit, and usefulness of measures; 3) Recognizing conflicting stakeholder paradigms. Despite the interest in and positive attitudes toward patient involvement, views on the meaning and value of evaluating involvement and innovating varied; in part, this was attributable to challenges in selecting criteria, methods, and measures for evaluation. Conclusion The findings indicate the need to integrate the perspectives of all key stakeholders in designing the evaluation of patient involvement initiatives. The application of a multiple stakeholder approach and co-production of a multidimensional evaluation may provide some common ground for selecting evaluation criteria and measurement tools in the healthcare setting. Trial registration Danish Data Protection Agency (1-16-02-400-21) 15 October 2021.