A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.

<h4>Background</h4>The COVID-19 pandemic has had a devastating impact on healthcare systems and care delivery, changing the context for patient and family engagement activities. Given the critical contribution of such activities in achieving health system quality goals, we undertook to a...

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Autores principales:	Lauren Cadel, Michelle Marcinow, Jane Sandercock, Penny Dowedoff, Sara J T Guilcher, Alies Maybee, Susan Law, Kerry Kuluski
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5dd76565a0e94541b22228db60a8fc2f
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spelling	oai:doaj.org-article:5dd76565a0e94541b22228db60a8fc2f2021-11-25T06:19:00ZA scoping review of patient engagement activities during COVID-19: More consultation, less partnership.1932-620310.1371/journal.pone.0257880https://doaj.org/article/5dd76565a0e94541b22228db60a8fc2f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257880https://doaj.org/toc/1932-6203<h4>Background</h4>The COVID-19 pandemic has had a devastating impact on healthcare systems and care delivery, changing the context for patient and family engagement activities. Given the critical contribution of such activities in achieving health system quality goals, we undertook to address the question: What is known about work that has been done on patient engagement activities during the pandemic?<h4>Objective</h4>To examine peer-reviewed and grey literature to identify the range of patient engagement activities, broadly defined (inclusive of engagement to support clinical care to partnerships in decision-making), occurring within health systems internationally during the first six months of the COVID-19 pandemic, as well as key barriers and facilitators for sustaining patient engagement activities during the pandemic.<h4>Methods</h4>The following databases were searched: Medline, Embase and LitCOVID; a search for grey literature focused on the websites of professional organizations. Articles were required to be specific to COVID-19, describe patient engagement activities, involve a healthcare organization and be published from March 2020 to September 2020. Data were extracted and managed using Microsoft Excel. A content analysis of findings was conducted.<h4>Results</h4>Twenty-nine articles were included. Few examples of more genuine partnership with patients were identified (such as co-design and organizational level decision making); most activities related to clinical level interactions (e.g. virtual consultations, remote appointments, family visits using technology and community outreach). Technology was leveraged in almost all reported studies to interact or connect with patients and families. Five main descriptive categories were identified: (1) Engagement through Virtual Care; (2) Engagement through Other Technology; (3) Engagement for Service Improvements/ Recommendations; (4) Factors Impacting Patient Engagement; and (5) Lessons Learned though Patient Engagement.<h4>Conclusions</h4>Evidence of how healthcare systems and organizations stayed connected to patients and families during the pandemic was identified; the majority of activities involved direct care consultations via technology. Since this review was conducted over the first six months of the pandemic, more work is needed to unpack the spectrum of patient engagement activities, including how they may evolve over time and to explore the barriers and facilitators for sustaining activities during major disruptions like pandemics.Lauren CadelMichelle MarcinowJane SandercockPenny DowedoffSara J T GuilcherAlies MaybeeSusan LawKerry KuluskiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257880 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lauren Cadel Michelle Marcinow Jane Sandercock Penny Dowedoff Sara J T Guilcher Alies Maybee Susan Law Kerry Kuluski A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.
description	<h4>Background</h4>The COVID-19 pandemic has had a devastating impact on healthcare systems and care delivery, changing the context for patient and family engagement activities. Given the critical contribution of such activities in achieving health system quality goals, we undertook to address the question: What is known about work that has been done on patient engagement activities during the pandemic?<h4>Objective</h4>To examine peer-reviewed and grey literature to identify the range of patient engagement activities, broadly defined (inclusive of engagement to support clinical care to partnerships in decision-making), occurring within health systems internationally during the first six months of the COVID-19 pandemic, as well as key barriers and facilitators for sustaining patient engagement activities during the pandemic.<h4>Methods</h4>The following databases were searched: Medline, Embase and LitCOVID; a search for grey literature focused on the websites of professional organizations. Articles were required to be specific to COVID-19, describe patient engagement activities, involve a healthcare organization and be published from March 2020 to September 2020. Data were extracted and managed using Microsoft Excel. A content analysis of findings was conducted.<h4>Results</h4>Twenty-nine articles were included. Few examples of more genuine partnership with patients were identified (such as co-design and organizational level decision making); most activities related to clinical level interactions (e.g. virtual consultations, remote appointments, family visits using technology and community outreach). Technology was leveraged in almost all reported studies to interact or connect with patients and families. Five main descriptive categories were identified: (1) Engagement through Virtual Care; (2) Engagement through Other Technology; (3) Engagement for Service Improvements/ Recommendations; (4) Factors Impacting Patient Engagement; and (5) Lessons Learned though Patient Engagement.<h4>Conclusions</h4>Evidence of how healthcare systems and organizations stayed connected to patients and families during the pandemic was identified; the majority of activities involved direct care consultations via technology. Since this review was conducted over the first six months of the pandemic, more work is needed to unpack the spectrum of patient engagement activities, including how they may evolve over time and to explore the barriers and facilitators for sustaining activities during major disruptions like pandemics.
format	article
author	Lauren Cadel Michelle Marcinow Jane Sandercock Penny Dowedoff Sara J T Guilcher Alies Maybee Susan Law Kerry Kuluski
author_facet	Lauren Cadel Michelle Marcinow Jane Sandercock Penny Dowedoff Sara J T Guilcher Alies Maybee Susan Law Kerry Kuluski
author_sort	Lauren Cadel
title	A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.
title_short	A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.
title_full	A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.
title_fullStr	A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.
title_full_unstemmed	A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.
title_sort	scoping review of patient engagement activities during covid-19: more consultation, less partnership.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/5dd76565a0e94541b22228db60a8fc2f
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A scoping review of patient engagement activities during COVID-19: More consultation, less partnership.

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