Patient participation in health care in China: what ways promote patient participation and engagement?

Article type
Authors
Jia P1, Zhang L1, Zhao P1, Zhang M1
1Chinese Cochrane Center, China
Abstract
Background: Patient participant in health care has been a concern since the complex social movements of the 1960s. The doctor-patient dispute has been increasingly prominent in recent years in China. Related studies showed that the communication openness was seriously jeopardised by the lack of trust between health workers and patients.
Objectives: To investigate the ways of promoting the participation of the patient in health care in China.
Methods:We searched four Chinese databases including CBM, VIP, CNKI and Wanfang using the search term 'patient participant', 'patient involvement' 'health care' and 'clinical care' from 2000 to February 2015.
Results: Eighty relevant studies were published from 2000 to 2015 but only 22 meet our criteria. The number of studies relevant to patient participant in health care was increasing from the year 2010 to 2014, with two, three, five and 10 respectively. Five categories of ways were identified that promote patient participant in health care: education by clinicians (8), self-monitoring (5), communicating information (3), family's participation (2) and education by internet (2). The participants were diabetics, children, women with cesareans and patients of plastic surgery. Among the 20 studies, the institutions of the first authors mostly were universities (65%), hospitals (11%), and colleges (9%), respectively.
Conclusions: Patient participant in health care is still in its infancy in China. Although participation in health care has been emphasized for many years, there is not much evidence to support this. Hopefully ‘participation in health care’ will be a focus in future in China.