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Open Access 01-09-2009 | Original Article

Reconsidering Patient Participation in Guideline Development

Authors: Hester M. van de Bovenkamp, Margo J. Trappenburg

Published in: Health Care Analysis | Issue 3/2009

Abstract

Health care has become increasingly patient-centred and medical guidelines are considered to be one of the instruments that contribute towards making it so. We reviewed the literature to identify studies on this subject. Both normative and empirical studies were analysed. Many studies recommend active patient participation in the process of guideline development as the instrument to make guidelines more patient-centred. This is done on the assumption that active patient participation will enhance the quality of the guidelines. We found no empirical evidence, however, to support this assumption. Moreover, the studies show that patients experience several difficulties in the participation process, which cannot solely be traced back to flawed practices. Given this poor track record we conclude that the plea to actively involve patients in the guideline development process should be reconsidered.

Taking into account every possible argument in the development process other than medical evidence will make deviation from these guidelines ever more difficult. Other arguments that are already used are cost-efficiency, safety, usability, organisational feasibility and judicial considerations [53].

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Title: Reconsidering Patient Participation in Guideline Development
Authors: Hester M. van de Bovenkamp
Margo J. Trappenburg
Publication date: 01-09-2009
Publisher: Springer US
Published in: Health Care Analysis / Issue 3/2009
Print ISSN: 1065-3058
Electronic ISSN: 1573-3394
DOI: https://doi.org/10.1007/s10728-008-0099-3

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