Assessing the environment for engagement in health services: The Audit for Consumer Engagement (ACE) tool

被引：1

作者：

Chauhan, Ashfaq ^{[1
]}

Newman, Bronwyn ^{[1
]}

Walpola, Ramesh Lahiru ^{[2
]}

Seale, Holly ^{[2
]}

Manias, Elizabeth ^{[3
]}

Wilson, Carlene ^{[4
,5
]}

Harrison, Reema ^{[1
]}

机构：

[1] Macquarie Univ, Fac Med Hlth & Human Sci, Australian Inst Hlth Innovat, Ctr Hlth Syst & Safety Res, Level 6,75 Talavera Rd, N Ryde, NSW 2113, Australia

[2] UNSW Sydney, Sch Populat Hlth, Fac Med & Hlth, Kensington, NSW, Australia

[3] Deakin Univ, Ctr Qual & Patient Safety Res, Sch Nursing & Midwifery, Inst Hlth Transformat, Melbourne, Vic, Australia

[4] Austin Hlth, Olivia Newton John Canc Wellness & Res Ctr, Heidelberg, Vic, Australia

[5] La Trobe Univ, Sch Psychol & Publ Hlth, Bundoora, Vic, Australia

来源：

HEALTH EXPECTATIONS | 2022年 / 25卷 / 06期

基金：

英国医学研究理事会;

关键词：

audit tool; consumer engagement; facility design; health service design; physical environment; INTERRATER RELIABILITY; PHYSICAL-ENVIRONMENT; FAMILY ENGAGEMENT; CARE; PATIENT; DESIGN; INTERVENTIONS;

D O I：

10.1111/hex.13610

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Introduction Although it is widely accepted that the physical environment can impact health quality and care outcomes, its impact on consumer engagement with health services has not been examined. Currently, no tools exist that assess the opportunities for consumer engagement offered within the physical environment. We aimed to develop and validate an environmental audit tool to assist health services and researchers to assess the extent to which the physical environment in health services creates and supports opportunities for consumer engagement. Method An iterative, team-based approach in partnership with diverse stakeholders was used to develop the Audit for Consumer Engagement (ACE) tool. A four-stage process consisting of desktop review, concept clarification, identification of domains and validation was implemented. The tool was validated in one cancer service via face and content validation and inter-rater reliability was also assessed. Results The ACE tool was demonstrated to comprise four main domains (access and signage information; resources for consumers; resources to support diversity; and consumer engagement events or activities) measured with 17 items. Face and content validity was achieved, and preliminary reliability analysis indicated substantial agreement between the two researchers for all four domains with an average of 86% agreement. Conclusion The ACE is a novel tool that is practical, relevant and reliable, and developed in partnership with consumers and health service providers. The tool can be used by health service providers, researchers and consumer agency groups to assess opportunities for consumer engagement offered within the physical environment of cancer services. The ACE tool has the potential to be used as a guide for enhancing consumer engagement opportunities and for research purposes. Further evidence about the validity of the tool is required, including criterion-related validity and utility in other health settings. Patient/Public Contribution This project is part of a wider 'CanEngage' project that includes a consumer investigator and is supported by a consumer advisory group. This study was completed in active partnership with members of a consumer advisory group from diverse backgrounds. Feedback was sought from the members throughout the development process of the tool with findings discussed with the CanEngage group members in scheduled meetings.

引用

页码：3027 / 3039

页数：13

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