Patient-mediated interventions to improve the practice of healthcare workers

Added April 18, 2020

Citation: Fonhus M, Dalsbo T, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database of Systematic Reviews 2018; (9): CD012472

What is this? COVID-19 is placing great strain on healthcare workers but maintaining the quality of care and patient safety is crucial. Therefore, it is important to understand how patient-mediated interventions can influence healthcare practice.

In this Cochrane systematic review, the authors searched for randomised trials of the effects of patient-mediated interventions on the performance of healthcare workers. They did not restrict their search by date or language of publication and did the search in August 2018. They included 15 individual randomised trials and 10 cluster randomized trials (total: 12,268 patients), and also identified 2 ongoing trials.

What works: Patient-reported health information interventions are likely to improve the quality of healthcare services.

Patient education interventions are likely to improve the quality of healthcare services.

What doesn’t work: Patient decision aid interventions have little or no impact of healthcare workers’ adherence to recommended clinical practice.

What’s uncertain: The effects of patient feedback about clinical practice, patients being members of committees or boards, or patient‐led training or education of healthcare workers are uncertain.

Across all patient-mediated interventions, the effects on adverse events, desirable patient health outcomes, patient satisfaction and resource use are uncertain.


Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.