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Review

Patient Participation and the Environment: A Scoping Review of Instruments

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School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden
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Department of Health Sciences, Lund University, 221 00 Lund, Sweden
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Department of Social Work, Stockholm University, 106 91 Stockholm, Sweden
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Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, 221 85 Lund, Sweden
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Department of Clinical Sciences, Lund University, 221 84 Lund, Sweden
*
Author to whom correspondence should be addressed.
Academic Editor: Stefan Nilsson
Int. J. Environ. Res. Public Health 2022, 19(4), 2003; https://doi.org/10.3390/ijerph19042003
Received: 16 December 2021 / Revised: 28 January 2022 / Accepted: 5 February 2022 / Published: 11 February 2022
(This article belongs to the Section Health Care Sciences & Services)
Patient participation and the environment are critical factors in achieving qualitative healthcare. We conducted a systematic scoping review using Arksey and O’Malley’s framework to identify instruments intended to measure patient participation. We assessed those instruments’ characteristics, which areas of the healthcare continuum they target, and whether environmental factors are considered. Instruments were considered eligible if they represented the patient perspective and measured patient participation in healthcare. The search was limited to articles written in English and published in the last 10 years. We extracted concepts (i.e., patient empowerment, patient participation, and patient-centeredness) based on the framework developed by Castro et al. and outcomes of significance regarding the review questions and specific objectives. The search was conducted in PsycINFO, CINHAL/EBSCO, and PubMed in September 2019 and July 2020. Of 4802 potential titles, 67 studies reported on a total of 45 instruments that met the inclusion criteria for this review. The concept of patient participation was represented most often in these studies. Although some considered the social environment, no instrument was found to incorporate and address the physical environment. Thirteen instruments were generic and the remaining instruments were intended for specific diagnoses or healthcare contexts. Our work is the first to study instruments from this perspective, and we conclude that there is a lack of instruments that measure aspects of the social and physical environment coherently as part of patient participation. View Full-Text
Keywords: patient participation; healthcare; environment; scoping review; patient-reported instruments patient participation; healthcare; environment; scoping review; patient-reported instruments
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MDPI and ACS Style

Kylén, M.; Schön, U.-K.; Pessah-Rasmussen, H.; Elf, M. Patient Participation and the Environment: A Scoping Review of Instruments. Int. J. Environ. Res. Public Health 2022, 19, 2003. https://doi.org/10.3390/ijerph19042003

AMA Style

Kylén M, Schön U-K, Pessah-Rasmussen H, Elf M. Patient Participation and the Environment: A Scoping Review of Instruments. International Journal of Environmental Research and Public Health. 2022; 19(4):2003. https://doi.org/10.3390/ijerph19042003

Chicago/Turabian Style

Kylén, Maya, Ulla-Karin Schön, Hélène Pessah-Rasmussen, and Marie Elf. 2022. "Patient Participation and the Environment: A Scoping Review of Instruments" International Journal of Environmental Research and Public Health 19, no. 4: 2003. https://doi.org/10.3390/ijerph19042003

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