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Patient involvement in Europe – a comparative framework

Mike Dent (Faculty of Health Sciences, Staffordshire University, Stafford, UK)
Majda Pahor (Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovena)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 17 August 2015

2009

Abstract

Purpose

The purpose of this paper is to provide and explain the model that underlies most of the research reported within this special issue on “Patient involvement in health care across Europe”.

Design/methodology/approach

This introduction provides a literature review and a conceptual framework for the understanding of patient involvement and its potential development within health care across Europe.

Findings

Patient involvement can be characterised in terms of three ideal types: voice, choice and co-production. Policies for developing user involvement in healthcare can have disempowering as well as empowering consequences. The pattern of dissemination of user involvement across Europe varies in form and content largely due to path dependency.

Research limitations/implications

The paper provides a template for future comparative research on user involvement in health care and one that could be extended to social care as well as other varieties of human services. This introduction and the special issue highlights the need for further comparative research in this area.

Originality/value

The paper presents a robust model for comparative research. The findings may well be useful not only to researchers but also to policy makers and analysts.

Keywords

Acknowledgements

The authors wish to thank as well as acknowledge the EU COST Action ISO903 “Enhancing the role of medicine in the management of European health systems” for their support.

Citation

Dent, M. and Pahor, M. (2015), "Patient involvement in Europe – a comparative framework", Journal of Health Organization and Management, Vol. 29 No. 5, pp. 546-555. https://doi.org/10.1108/JHOM-05-2015-0078

Publisher

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Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited

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