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Lay perceptions of the desired role and type of user involvement in clinical governance

Litva, Andrea, Canvin, Krysia, Shepherd, Michael Allan, Jacoby, Ann and Gabbay, Mark 2009. Lay perceptions of the desired role and type of user involvement in clinical governance. Health Expectations 12 (1) , pp. 81-91. 10.1111/j.1369-7625.2008.00530.x

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Abstract

Objective The aim of this paper is to explore variations in lay perceptions of user involvement in clinical governance. Context The English National Health Service has sought to build a dependable health service through enhanced effectiveness, responsiveness and consistency. Clinical governance, a policy for improving service quality, is a key pillar of these reforms. It is a statutory duty of primary care organizations to ensure that users are involved in all service planning and decision making, including clinical governance. Yet surveys indicated that user involvement in clinical governance was underdeveloped and underutilized. Design Focus groups were conducted with different types of lay people to explore their perceptions around public involvement in different aspects of clinical governance policy. Results Content analysis of the transcripts reveals that different groups of lay people varied in their desired role perspective and preferred type of involvement in different aspects of clinical governance policy. Drawing upon existing models of user involvement, we identified three role perspectives that lay people could take in user involvement – consumer, advocate and citizen. We compared our findings regarding the desired type of involvement with existing models of user involvement, and identified a new type of involvement, overseeing, that is relevant to clinical governance policy. Conclusions These findings suggest that to facilitate user involvement in clinical governance, it would be necessary to use different strategies to accommodate the differing role perspectives and types of involvement desired by different groups of lay people.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Cardiff Institute of Society and Health (CISHE)
Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > H Social Sciences (General)
Uncontrolled Keywords: clinical governance; lay perspectives; public involvement
Publisher: Wiley
ISSN: 1369-6513
Last Modified: 19 Mar 2016 22:48
URI: http://orca.cf.ac.uk/id/eprint/27900

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