title: Expanding patient engagement in quality improvement and health system redesign: Three Canadian case studies.
abstract: Healthcare organizations face growing pressures to increase patient-centred care and to involve patients more in organizational decisions. Yet many providers worry that such involvement requires additional time and resources and do not see patients as capable of contributing meaningfully to decisions. This article discusses three efforts in four organizations to engage patients in quality improvement efforts. McGill University Health Centre, Saskatoon Health Region, and Vancouver Coastal and Fraser Health Regions all engaged patients in quality improvement and system redesign initiatives that were successful in improving care processes, outcomes, and patient experience measures. Patient involvement in redesigning care may provide a way to demonstrate the value of patients' experiences and inputs into problem-solving, building support for their involvement in other areas. Further study of these cases and a broader survey of organizational experiences with patient involvement may help elucidate the factors that support greater patient engagement.
authors: Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. ross.baker@utoronto.ca.
authors: G Ross
authors: GR
authors: Baker
authors: University Health Network, Toronto, Ontario, Canada.
authors: Carol
authors: C
authors: Fancott
authors: Canadian Foundation for Healthcare Improvement, Ottawa, Ontario, Canada.
authors: Maria
authors: M
authors: Judd
authors: McGill University Health Centre, Montréal, Québec, Canada.
authors: Patricia
authors: P
authors: O'Connor
mesh_terms: D002170:Canada; D003657:Decision Making; D006801:Humans; D010358:Patient Participation; D018802:Patient-Centered Care / Q000458:organization & administration*; D058996:Quality Improvement; D011787:Quality of Health Care