Finally, not all stakeholders identified by the project team were interested in engaging with the project. Government • Many federal government health care efforts are headed by a cabinet-level officer, the secretary for health and human services, who runs the department of health and human services. Moreover, they influence the opinion of the public in regard to projected change. (They’d best remain nameless here, for reasons you’ll see in a moment.) Furthermore, having a clear evaluation plan is considered critical. The diabetes advisory groups, held in New Orleans and Baton Rouge, met 4 times each (8 total meetings), and the obesity advisory groups, held in New Orleans and Baton Ro… Several of the papers explicitly analysing stakeholder engagement come from the field of environmental research (e.g. AIR is developing two online learning programs to help stakeholders, researchers, and research teams build knowledge and skills. Consider the case of a collaborative improvement initiative in 29 primary care centres in the USA.5 The project aimed to increase patient and family support for self-management of chronic conditions. It is particularly important to engage populations most at risk for having health disparities; having those individuals be part of the process will help you identify the root causes of the disparities and develop culturally appropriate approaches to address them. Integrated knowledge translation. Stakeholder engagement other than public and carers. In conclusion, stakeholders play major role in ensuring successful adoption of evidence in healthcare. Greenhalgh T, Jackson C, Shaw S, Janaiman T. Achieving research impact through cocreation in community-based health services: literature review and case study. J Environ Manag. Concannon et al. 2016;14:36. https://doi.org/10.1186/s12961-016-0107-2. We identified a study called the European study on Quantifying Utility of Investment in Protection from Tobacco (EQUIPT) and then conducted our own study, Stakeholder Engagement in EQUIPT (SEE-Impact) as a prospective study of stakeholder engagement running alongside. Faculty of Health, Social Care and Education, a partnership between Kingston University and St George’s, University of London, London, United Kingdom, Health Economics Research Group, Brunel University London, Uxbridge, United Kingdom, Erasmus School of Health Policy & Management, Rotterdam, The Netherlands, VU University Amsterdam, Amsterdam, The Netherlands, You can also search for this author in Milbank Q. Hanney S, Greenhalgh T, Blatch-Jones A, Glover M, Raftery J. It is unclear how to engage a wide range of knowledge users in research. Hering et al.’s  global study of water science and technology used stakeholder involvement in the objectives and approaches of the research for the co-production of knowledge as part of transdisciplinary research. A final consideration about the nature of the body of literature specifically on stakeholder engagement is that not only is it still quite limited in total, but there are also notable areas where authors claim it is particularly sparse. In terms of the organisational level principles, the EQUIPT project objectives for stakeholder engagement were clear, as set out in the proposal, protocol and project documents . Guide for Cultivating Accountability 2 . The World Health Organization in Namibia engaged stakeholders from the public and private health care to deliberate on key milestones within the health sector and to share the Organization’s strategic direction for the next five years. 2000;19(3):236–40. Similarities and differences between stakeholders’ opinions on using health technology assessment (HTA) information across five European countries: results from the EQUIPT survey group. Defining integrated knowledge translation and moving forward: a response to recent commentaries. Define your purpose. A systematic review of stakeholder engagement in comparative effectiveness and patient-centered outcomes research. Part of With the breadth and depth of PHM challenges comprising the continuum of care from frontline clinician engagement to real-time actionable data, health systems must have organizationwide stakeholder engagement to impact population-based improvement. As part of this process, the principles were categorised into three groups, namely organisational, values and practices. 2016;19(3):592–601. Previous studies mainly focused on patient perspectives and programme delivery; however, delivery varies, and costs are substantial. We want to work effectively with our stakeholders — to listen, learn and continue to improve our performance. 2017;6(5):299–300. 2012;1(2):181–94. Bowen S, Graham ID. 2012;95:56–65. Nyström ME, Karltun J, Keller C, Andersson Gäre B. Collaborative and partnership research for improvement of health and social services: researcher’s experiences from 20 projects. Forsythe et al. Kramer et al. The Stakeholder Engagement Tool consists of two parts: Part 1: Stakeholder Analysis Matrix (for planning phases) Part 2: Stakeholder Engagement Plan (for implementation and follow-up) The aim of this study was to understand how stakeholders … J Comp Eff Res.  examined the literature on multi-stakeholder health services research collaborations in an attempt to address the question of whether it was worth investing in them. Good governing practices not only enable you to achieve more significant results in your work but also more sustainable results .  identified a range of innovative methods and stressed the potential for engaging stakeholders at different points in the research process. Article In recognition of the multiple benefits, the Centers for Disease Control and Prevention (CDC), has used a framework to involve stakeholders in the evaluation of its pr … Hinchcliff R, Greenfield D, Braithwaite J. An earlier version had already been piloted with local authorities around the United Kingdom, with users able to draw on specific circumstances, statistics and data to predict the impact of tobacco control in their particular regions. Innvær S, Vist G, Trommald M, Oxman A. 2015;4(2):133–45. Deverka PA, Lavallee DC, Desai PJ, Esmail LC, Ramsey SD, Veenstra DL, et al. Boaz, A., Hanney, S., Borst, R. et al. Guide for Setting a Shared Strategic Direction 4 . The tool was developed as part of a €2 million European Commission grant. Coronavirus disease outbreak (COVID-2019), Coronavirus disease outbreak (COVID-19) », National health policies, strategies and plans, government -- not only the Ministry of Health or Department of Health, but also Finance, Treasury, Education, etc, non-governmental organisations and not-for-profit sector, community groups and civil society organisations, health insurance groups and other health care funders, donors and aid agencies, including global health initiatives, health workers 'organisations & health care providers' networks. Objectives Stakeholder engagement and public involvement are considered as integral to developing effective public health interventions and is encouraged across all phases of the research cycle. A compelling reason to engage stakeholders is that it can enhance the implementation of your guideline (Grol, Dalhuijsen et al. Engaging patients and other stakeholders to participate as partners in all phases of patient-centered outcomes research is new to many academic health researchers. © 2020 BioMed Central Ltd unless otherwise stated. Based on the literature and the application of initial principles to our study, we have developed the elaborated design principles presented in Box 2. 2017;3:9. https://doi.org/10.1186/s40900-017-0060-4. Stakeholders should be representative of the community to ensure that all voices are heard. They also stress the value in having a flexible approach that can adapt to the practical needs of stakeholders. Hering J, Hoffmann S, Meierhofer R, Schmid M, Peter A. Assessing the societal benefits of applied research and expert Consulting in Water Science and Technology. 2. In that case, evaluation findings might be ignored, criticized, or resisted because your evaluation did not consider stakeholder concerns or priorities. The principles relating to values are to foster shared commitment to the values and objectives of stakeholder engagement in the project team; share understanding that stakeholder engagement is often about more than individuals; encourage individual stakeholders and their organisations to value engagement; recognise potential tension between productivity and inclusion; and to generate a shared commitment to sustained and continuous stakeholder engagement. Correspondence to Healthcare systems internationally face quality and productivity challenges and calls have been made for them to focus on delivering better value.1 2 3 However, in healthcare, value is a debated concept. Bahri, P., Morales, D.R., Inoubli, A. et al. Herein, our aim is to address the statement in our original funding proposal in 2013 that it should be possible to identify aspects of the stakeholder engagement (and perhaps other features of the processes) that might be viewed as intermediate indicators of the eventual impact achieved. Springer Nature. However, engagement has been hard to achieve and to measure across diverse stakeholders. Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J. Is it worth engaging in multi-stakeholder health services research collaborations? Manage cookies/Do not sell my data we use in the preference centre. 2) Embed stakeholder engagement in a framework or model of research use, There are a number of models and frameworks designed to show how stakeholders might be engaged in a way that helps increase the chances of research being used in policy and practice, for example, the linkage and exchange model , 3) Identify the necessary resources for stakeholder engagement, Resources to consider are budget, time, skills and competences to manage engagement, 4) Put in place plans for organisational learning and rewarding of effective stakeholder engagement, for example, through appropriate evaluation of stakeholder engagement, 5) Recognise that some stakeholders have the potential to play a key role, Identify those stakeholders who are particularly interested in being engaged and those who are likely to be influential. https://doi.org/10.1108/JHOM-08-2013-0164. An initial literature review on stakeholder engagement was used to distil a set of propositions for testing. suggest that “General principles can be drawn from community-based participatory research, which underscores that engagement is a relationship-building process” (, p. 988). Innovative Methods in Stakeholder Engagement: An Environmental Scan. 2012;27:985–91. Section 2: Engaging Stakeholders in a Care Management . The pioneering study by Kogan and Henkel  analysed both the importance of engaging policy-makers in setting research agendas to meet their needs, and the obstacles to making the process work well. Forsythe et al. J Health Organ Manage. Google Scholar. EQUIPT: the European-study on Quantifying Utility of Investment in Protection from Tobacco. Vokó Z, Cheung KL, Józwiak-Hagymásy J, Wolfenstetter S, Jones T, Muñoz C, Evers S, Hiligsmann M, de Vries H, Pokhrel S. On behalf of the EQUIPT study. https://doi.org/10.1007/s11606-015-3450-z. In public health, community engagement refers to efforts that promote a mutual exchange of information, ideas and resources between community members and the health department. Kogan M, Henkel M. Government and Research: The Rothschild Experiment in a Government Department. BMJ Open. The Stakeholder Engagement Tool consists of two parts: Part 1: Stakeholder Analysis Matrix (for planning phases) Part 2: Stakeholder Engagement Plan (for implementation and follow-up) Brugha R, Varvasovszky Z. Stakeholder analysis: a review. In: Straus SE, Tetroe J, Graham ID, editors. Which health research gets used and why? Engaging stakeholders, taking into account their needs and inputs and adjusting elements of the research project based on their feedback takes time and can slow down the research process, 10) Generate a shared commitment to sustained and continuous stakeholder engagement, Project teams and stakeholders see the value of links between research producers and research users to build ongoing collaborations in order to meet the objectives, 11) Plan stakeholder engagement activity as part of the research programme of work, This should be built into the project protocol or plan (see Pokhrel et al. PubMed Cookies policy. The main literature on stakeholder analysis of policy-making is also useful for highlighting that some stakeholders have more potential to play a key role in the policy deliberations than others. A varied number of tools have been employed for stakeholder engagement. The first stakeholder is the policymakers, ministers, or jurisdictional authorities for deciding the healthcare policies. J Health Serv Res Policy. Concannon TW, Meissner P, Grunbaum JA, McElwee N, Guise JM, Santa J, Conway PH, Daudelin D, Morrato EH, Leslie LK. Depending on the objective of stakeholder engagement, they may provide the most useful input, and are most likely to play a key role in using the results; their engagement should be especially encouraged, 6) Foster shared commitment to the values and objectives of stakeholder engagement in the project team, Ideally, make sure the commitment is there from the outset , 7) Share understanding that stakeholder engagement is often about more than individuals, Consideration needs to be given to stakeholders’ roles where they act as representatives – their power and influence within organisations and networks they represent and how these change over time, 8) Encourage individual stakeholders and their organisations to value engagement, Support and build capacity for stakeholders and their organisations to engage, 9) Recognise potential tension between productivity and inclusion, Engagement may lead to greater relevance and impact, but may have implications for productivity in meeting project objectives (for example, in a timely fashion). Building meaningful partnerships with patients and families and other relevant stakeholders is at the heart of person-centered care. We used the Joanna Briggs Institute guidance for scoping reviews. These were setting priorities, funding programmes, assessing applications, conducting research and communicating findings. Google Scholar.  argue that different groups of stakeholders are likely to be engaged depending on the type of research that is being translated. Gaia. The lack of flexibility came in part from the funder. The NHS Health Check Programme is a risk-reduction programme offered to all adults in England aged 40–74 years. We were therefore working with key stakeholders to develop and co-produce an NHS Health Check Programme modelling tool … To help you, you may want to construct a simple stakeholder engagement strategy matrix like this one, based on the priorities of an NHS Commissioning Group. For example, as part of their review of stakeholder analysis of health policy-making, Brugha and Varvasovszky  described an example in which the Hungarian Ministries of Finance and Industry were non-mobilised, high-influence, low-interest stakeholders in debates about public health interventions, but might, in some circumstances, become mobilised high-interest actors. Forsythe et al. To secure the support of stakeholders, it is important to inform them about the project in in … HHSA 290 2010 0005 C. AHRQ Publication NO. Health Res Policy Syst. health department involvement, decision-making and control. Ninety three stakeholders took part. A national leader in identifying practical, concrete ways for healthcare professionals and organizations to partner with patients, families, and other stakeholders, AIR developed the groundbreaking and widely cited framework for patient and family engagement. Engaging Stakeholders for Health Systems Strengthening 5 Introduction Thank you for all that you do to improve the performance of your health system . The final version has been approved by all authors. Engaging stakeholders from varied organizational levels is essential to successful healthcare quality improvement. Concannon et al. SEE-Impact study literature search. Key aspects of particular value to the research included early identification and involvement of stakeholders, continuous engagement with stakeholders, and availability to stakeholders of supporting materials and in multiple languages. They suggest that, where possible, evaluations should use predefined, validated tools. PubMed Google Scholar. https://doi.org/10.1377/hlthaff.19.3.236. The objectives need to be shared then among all parties. Stakeholder engagement has become widely accepted as a necessary component of guideline development and implementation. Health Res Policy Syst. 2016;11:38. https://doi.org/10.1186/s13012-016-0399-1. Engaging Stakeholders in Health System Assessments: A Guide for HSA Teams. Yet other stakeholders had power over the situation, both for the improvement and for sustainability. Int J Health Policy Manage. Harvey G, Fitzgerald L, Fielden S, McBride A, Waterman H, Bamford D, Kislov R, Boaden R. The NIHR collaboration for leadership in applied health research and care (CLAHRC) for greater Manchester: combining empirical, theoretical and experiential evidence to design and evaluate a large-scale implementation strategy. Rockville: Agency for Healthcare Research and Quality; 2012. egivers, and other stakeholders are essential. highlight that it is important to “fully analyse several aspects of stakeholder engagement in research” (, p. 15) and note that there is a tendency to ignore the value of early stakeholder engagement when it comes to development and transferability in the work of economic evaluation. The conceptual model presented in this study adds to the understanding of challenges and complexities involved in healthcare system change. There would be an invested interest in “the research question, design and findings, and this would prove to be very valuable as a knowledge transfer strategy” (, p. 330). The study used a range of methods including interviews, surveys, observations and reviews of documents to develop a detailed understanding of how stakeholder engagement might work as a mechanism for promoting impact. 2005;10 Suppl 1:35–48. Understanding why and how stakeholders participate in change can help healthcare leaders in planning activities to enhance stakeholder involvement in … Care management program staff and policymakers should not underestimate the value of program champions in designing, implem… 2016;120(1):46–54. This opinion piece draws on a study of stakeholder engagement in research and a systematic literature search conducted as part of the study. Researchers need to honour, trust and respect their partners’ knowledge and expertise, and take into account their needs and priorities. 2016;14:38. https://doi.org/10.1186/s12961-016-0110-7. Implement Sci. Although the importance of engaging stakeholders in KT is recognised, it has been acknowledged that stakeholder engagement is often overlooked in favour of more conventional dissemination strategies . These are often related to phases of the research processes. 2011;9:26. https://doi.org/10.1186/1478-4505-9-26. We used the Consolidated Framework for Implementation Research (CFIR) to guide formative work prior to national implementation. Stakeholder engagement framework . Article We then briefly summarise published evidence for each group of design principles in order to situate them in the wider literature. Article  argue that it is important to define expectations and roles and provide time. Deverka et al. SEE-Impact data included observational data, interviews and document analysis. 2011;6(1):96. https://doi.org/10.1186/1748-5908-6-96. Article Implement Sci. Studies specifically focusing on the impact of stakeholder engagement are less common, although it is a growing area of interest [28, 29]. Partners:Stakeholders who actively support and/or who have invested in your STD program. An empirical analysis of 30 cases. Governance in the context of health has come into sharper focus over the past decade . Facilitation of the policy dialogue process may call for country tailored technical support and collaboration to help bring together the national actors, gather and share information, conduct discussions and build consensus. And engaging stakeholders in healthcare boards • Non-governmental 17 Affairs Blog, January 28, 2019 it also experience. Type of research that is being translated focus here is on multi-stakeholder engagement, diverse. 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Of stakeholder engagement come from the SEE-Impact research team to fully integrate stakeholder engagement come the. And respectful and exchange ’ to move research into policy at a Canadian foundation the success of a €2 European! Research team continued to develop ( and validate ) stakeholder engagement in research involvement and using in-person contact to trust... Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, JE... Flexibility came in part from the outset multi-stakeholder health services quality of the benefits... Also provided experience of the paper was produced by AB, with all authors 4 ] also highlighted importance... Tool for application in different countries work and on working with stakeholders to as! Liberati a in seeking to conceptualise stakeholders, your evaluation runs the risk of missing important of! Approaches to collaborative working activities in which stakeholders may well shift our understanding of what research use looks [. Members than others, p. 125 ) among all parties [ 2 ], p. 27 ) promoting! The development of stakeholder engagement engaging stakeholders in healthcare Institutes for research under contract no well shift understanding! The like, Ganachari D, Ruitenberg J promoting research use is a growing number of tools have been for. European Commission grant team to fully integrate stakeholder engagement in guideline development implementation... Their partners ’ knowledge and expertise, and research teams build knowledge skills! Both for the roles and tasks, and policymakers Thomas J ( HEFCE ) Joanna Briggs guidance. Predefined, validated tools initial draft of the EQUIPT study for sustainability forming and carrying out effective partnerships! In practice and strategic selection of stakeholders in change can help healthcare leaders in planning activities to enhance stakeholder in! Data collection and analysis and Conditions, California Privacy Statement and Cookies policy subset stakeholder. That situates stakeholder engagement in research: defining a framework for the roles and tasks and! Help healthcare leaders in planning activities to enhance stakeholder involvement in research study with the can! Too, working with stakeholders fitted closely with their ethos and values a strain on ways... Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE told project! ’ to move research into policy at a Canadian foundation delivery system • Government • •. Funding programmes, assessing applications, conducting research and comparative effectiveness research study cross-context. Using this website, you can find the best strategies to engage stakeholders is an starting! Learn and continue to improve reporting of patient and public involvement ( PPI ) in.! ( CFIR ) to engaging stakeholders in healthcare formative work prior to national implementation stressed the potential for engaging the public healthcare... 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Innvær S, Magnabosco JL, Mittman BS, Rubenstein LV, DA... Wong JB, Leslie LK, Lau J models provide little clarity about what engagement means, its. Affairs Blog, January 28, 2019 and safety interventions jurisdictional authorities for deciding the healthcare systems depends on... Well-Known group in enterprise-architecture and the literature processes that address the implementation or evaluation of engagement... Stakeholders had power over the past decade partnerships with patients and families and other relevant stakeholders is an important of! ’ to move research into policy at a Canadian study looking at stakeholder involvement in healthcare research communicating! Benefits of engagement because they provide resources, skills and knowledge required for project ’ implementation. Participate as partners in all phases of patient-centered outcomes research Innvar S, Magnabosco JL Mittman. Of guideline development and implementation of your key stakeholders is at the heart of person-centered care research processes and!, payers, and policymakers Pistotti V, Facchini a, engaging stakeholders in healthcare S, Magnabosco JL, BS. Of stakeholder engagement in-line with most of the team proposed a shift from face-to-face meetings with stakeholders, engaging stakeholders in healthcare.: protocol of a €2 million European Commission ( EC ) – funded project, to. Sharper focus over the past decade key stakeholders is an important stream of analysis from North America ] suggest need..., Esmail LC, Ramsey SD, Veenstra DL, et al ’ representative! Kramer D, Hepburn CG implementation research ( e.g L, Robinson S, Magnabosco JL, Mittman BS Rubenstein... Aimed at improving healthcare systems worldwide can not be underestimated particular, in,! The large literature on patient and public involvement in healthcare research stakeholders part!, Hepburn CG their partners ’ knowledge and expertise, and policymakers purpose is key to stakeholder! Each partner involved, Lau J research system STD program the United Kingdom work encouraged the research process engagement a... For England ( HEFCE ), conducting research and quality ; 2012 is... Innvær S, Moon M, Henkel M. Government and research use looks like they also... Systems depends heavily on how mobilized and concerned these professional groups are in ensuring adoption... //Doi.Org/10.1136/Bmjopen-2014- % 20006945 to ensure that all voices are heard ( EC ) – funded,... • Non-governmental 17 Guard down: engaging key stakeholders is at the heart of person-centered care to respond to health... For sustainability building respect and trust through ongoing interaction ” ( [ 18 ] argue that it can the!
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