Levels of Patient and Public Involvement in Healthcare

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Levels of Patient and Public Involvement in
Healthcare

• A Diagnostic Model

Eilish Mc Auliffe, Director, Health Services
Management, Trinity College Dublin
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Levels of Involvement
Partnership
Collaboration
Participation
Consultation
Feedback
No involvement
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Partnership
Health professionals
Public/Patients
Trust
Power sharing
Enthusiasm Empowerment
Enthusiasm Respect
Inclusion
Collaboration
Participation
Cooperation
Consultation
Revelation
Delusion
Defensiveness (Fear)
Disinterest
Feedback
Denial
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Partnership
INDIVIDUAL Making informed choices about
diagnostics, treatment and care plan.
Expressing preferences.
GROUP Jointly (with relevant voluntary and
advocacy groups) conducting needs assessment,
sharing information and planning services for the
care group
COMMUNITY Providing the public with understanding
and knowledge to participate as equal partners in
the planning, monitoring and evaluation of health
services
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Paradigm Shift
OLD
NEW
Paternal
Partner
Passive
Active
Tolerance
Respect
Outsider
Insider

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Consumer or community participation has been
invited, if not invented by those very
administrators who are not central to the system.
This means that insiders determine the rules and
structures through which outsiders can approach
the decision-making arenas, as well as the
resources to which they have access, once
there (White, 2000)