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Quality and Safety in Health Care 2003;12:87; doi:10.1136/qhc.12.2.87
Copyright © 2003 by the BMJ Publishing Group Ltd.
Qual Saf Health Care 2003;12:87
© 2003 BMJ Publishing Group & Institute for Healthcare Improvement

COMMENTARY

Patient involvement

Clinicians’ and patients’ roles in patient involvement

N Britten

Professor of Applied Health Care Research, Institute of Clinical Education, Peninsula Medical School, St Luke’s Campus, Exeter EX1 2LU, UK; nicky.britten@pms.ac.uk


The development of valid indicators to assess the quality of care for mental health is a challenge for primary care organisations.

Keywords: quality indicators; mental health; primary care

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

The involvement of patients in health care is now a matter of government policy, at least in the UK. Partly as a result of the scandal surrounding paediatric heart surgery in Bristol and the ensuing enquiry,1 public and patient involvement is now firmly on the agenda. To researchers who have been advocating patient centredness and shared decision making for years, if not decades, this is a welcome initiative. However, neither policy makers nor researchers have made much progress in working out how patient involvement is to be measured. Involvement can occur at many levels—from citizens’ juries to patient participation groups—but perhaps the most important arena for many people is the face to face consultation with a clinician.

The value of the carefully conducted work by Elwyn et al2 published in this issue of QSHC is, firstly, that it established—by means of a systematic review—that there was no existing . . . [Full text of this article]


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Relevant Article

Shared decision making: developing the OPTION scale for measuring patient involvement
G Elwyn, A Edwards, M Wensing, K Hood, C Atwell, and R Grol
Qual. Saf. Health Care 2003 12: 93-99. [Abstract] [Full Text] [PDF]

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