Volume 25, Issue 3 pp. 840-855
REVIEW ARTICLE

Mapping the role of patient and public involvement during the different stages of healthcare innovation: A scoping review

Victoria Cluley PhD

Victoria Cluley PhD

Post-doctoral Research Fellow

Department of Cardiovascular Sciences, University of Leicester, Leicester, UK

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Alexandra Ziemann PhD

Alexandra Ziemann PhD

Senior Research Fellow

Centre for Healthcare Innovation Research, City, University of London, London, UK

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Claire Feeley PhD

Claire Feeley PhD

Research Associate

School of Community Health and Midwifery, University of Central Lancashire, Preston, UK

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Ellinor K. Olander PhD

Ellinor K. Olander PhD

Senior Lecturer

Centre for Maternal and Child Health Research, School of Health Sciences, City, University of London, London, UK

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Shani Shamah BSc

Shani Shamah BSc

Service-User

Service-User, Research (Public Patient Involvement) Consultant, Independent, London, UK

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Charitini Stavropoulou PhD

Corresponding Author

Charitini Stavropoulou PhD

Associate Professor

Centre for Healthcare Innovation Research, City, University of London, London, UK

School of Health Sciences, City, University of London, London, UK

Correspondence Charitini Stavropoulou, Centre for Healthcare Innovation Research, Northampton Square, University of London, London EC1V 0HB, UK.

Email: [email protected]

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First published: 17 February 2022
Citations: 9

Victoria Cluley and Alexandra Ziemann are co-first authors.

Abstract

Background

Patient and public involvement (PPI) has become increasingly important in the development, delivery and improvement of healthcare. PPI is used in healthcare innovation; yet, how it is used has been under-reported. The aim of this scoping review is to identify and map the current available empirical evidence on the role of PPI during different stages of healthcare innovation.

Methods

The scoping review was conducted in accordance with PRISMAScR and included any study published in a peer-reviewed journal between 2004 and 2021 that reported on PPI in healthcare innovation within any healthcare setting or context in any country. The following databases were searched: Medline, EMBASE, CINAHL, PsycInfo, HMIC and Google Scholar. We included any study type, including quantitative, qualitative and mixed-method studies. We excluded theoretical frameworks, conceptual, scientific or grey literature as well as discussion and opinion papers.

Results

Of the 87 included studies, 81 (93%) focused on or were conducted by authors in developed countries. A wide range of conditions were considered, with more studies focusing on mental health (n = 18, 21%) and cancer care (n = 8, 9%). The vast majority of the studies focused on process and service innovations (n = 62, 71%). Seven studies focused on technological and clinical innovations (8%), while 12 looked at both technological and service innovations (14%). Only five studies examined systems innovation (5%) and one study looked across all types of innovations (1%). PPI is more common in the earlier stages of innovation, particularly problem identification and invention, in comparison to adoption and diffusion.

Conclusion

Healthcare innovation tends to be a lengthy process. Yet, our study highlights that PPI is more common across earlier stages of innovation and focuses mostly on service innovation. Stronger PPI in later stages could support the adoption and diffusion of innovation.

Patient or Public Contribution

One of the coauthors of the paper (S. S.) is a service user with extensive experience in PPI research. S. S. supported the analysis and writing up of the paper.

DATA AVAILABILITY STATEMENT

All data generated or analysed during this study were included in this published article and/or its Supporting Information Materials.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.