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Regional Formation and Development Studies

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A Theoretical Review of Patient Engagement Theories and Strategies
Rimantas Stašys   Samuel Osei Addo  

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https://doi.org/10.15181/rfds.v46i2.2738.9999
Pub. online: 4 July 2025      Type: Article      Open accessOpen Access

Published
4 July 2025

Abstract

The research aim is to identify the key factors influencing patient engagement and, after analysing strategies for patient engagement used worldwide, to assess their suitability for involving patients in the Ga East Municipality, Ghana. Employing a qualitative desk review approach, the study examined existing literature. It analysed global patient engagement frameworks across 20 studies conducted over the last ten years, based on the subcategories of trust, education, leadership and shared understanding. While the review highlighted several implications for health outcomes and patient satisfaction related to patient engagement, it also revealed that various factors, including low National Health Insurance Scheme enrolment, poor communication methods, gender inequities and trust issues, drive patient engagement. The article illustrated that educated, supported and engaged patients in decision-making adhered to treatment recommendations more frequently and expressed greater satisfaction with their care. A review of international frameworks revealed a range of strategies employed globally to enhance patient engagement.

References

 
Adjei-Tutu, L., (2021, December 6). NHIS Ga East District Office complex inaugurated. National Health Insurance Authority (NHIA). https://www.nhis.gov.gh/News/nhis-ga-east-district-office-complex-inaugurated-5373
 
Adusei, A. B., Bour, H., Amu, H., Afriyie, A. (2024). Community-based health planning and services programme in Ghana: a systematic review. Frontiers in Public Health, 12, 1337803. DOI: 10.3389/fpubh.2024.1337803.
 
Ankomah, S. E., Fusheini, A., Derrett, S. (2023). Implementing patient-public engagement for improved health: lessons from three Ghanaian community-based programmes. Health Expectations, 26 (6), 2684-2694. DOI: 10.1111/hex.13866.
 
Antabe, R., Anfaara, F. W., Sano, Y., Amoak, D. (2025). Ghana's National Health Insurance enrollment: Does the intersection of educational and residential status matter? PloS one, 20 (2), e0318202. DOI: 10.1371/journal.pone.0318202.
 
Birkeland, S., Bismark, M., Barry, M. J., Möller, S. (2022). Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey. BMJ quality & safety, 31 (2), 86-93. DOI: 10.1136/bmjqs-2020-012786
 
Birnhak, S. (2024, May 28). Why patient engagement is transforming healthcare. Ready Set Recover. https://readyse-trecover.com/blog/why-patient-engagement-is-transforming-healthcare
 
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., ... Pomey, M. P. (2018). Engaging patients to improve quality of care: a systematic review. Implementation Science, 13, 1-22. DOI: 10.1186/s13012-018-0784-z.
 
Centers for Disease Control and Prevention. (2024, June 21). Patient engagement. Centers for Disease Control and Prevention. https://www.cdc.gov/health-literacy/php/research-summaries/patient-engagement.html.
 
Classfmonline (2025, April 8). PHFAoG suspends action against NHIS following payment assurances. GhanaWeb. https://www.ghanaweb.com/GhanaHomePage/NewsArchive/PHFAoG-suspends-action-against-NHIS-following-payment-assurances-1978896.
 
Clavel, N., Paquette, J., Dumez, V., Del Grande, C., Ghadiri, D. P., Pomey, M. P., Normandin, L. (2021). Patient engagement in care: a scoping review of recently validated tools assessing patients' and healthcare professionals' preferences and experience. Health Expectations, 24 (6), 1924-1935. DOI: 10.1111/hex.13344
 
Duke-NUS Medical School. (n.d.). Coalition to accelerate patient engagement in Asia-Pacific (CAPE): Strengthening health systems oriented to patient needs. Centre of Regulatory Excellence. https://www.duke-nus.edu.sg/docs/librariesprovider5/reports/2020_r003_core_regional-multi-stakeholder-roundtable-report-accelerating-patient-en-gagement-for-more-resilient-health-systems.pdf?sfvrsn=b666ef55_0.
 
European Patients’ Academy on Therapeutic Innovation (EUPATI). (2021, January 5). EUPATI Patient Engagement Framework. https://www.eu-patient.eu/projects/eupati2/.
 
Graffigna, G., Barello, S. (2018). Patient Health Engagement (PHE) model in enhanced recovery after surgery (ERAS): monitoring patients' engagement and psychological resilience in minimally invasive thoracic surgery. Journal of thoracic disease, 10(Suppl 4), S517. DOI: 10.21037/jtd.2017.12.84
 
Haerry, D., Landgraf, C., Warner, K., Hunter, A., Klingmann, I., May, M., See, W. (2018). EUPATI and patients in medicines research and development: guidance for patient involvement in regulatory processes. Frontiers in medicine, 5, 230. DOI: 10.3389/fmed.2018.00230.
 
Horgan, D., Borisch, B., Cattaneo, I., Caulfield, M., Chiti, A., Chomienne, C., ... Von Meyenn, M. (2022). Factors affecting citizen trust and public engagement relating to the generation and use of real-world evidence in healthcare. International Journal of Environmental Research and Public Health, 19 (3), 1674. DOI: 10.3390/ijerph19031674.
 
Jose, R., Narendran, M., Bindu, A., Beevi, N., LM, B. P. V. (2021). Public perception and preparedness for the pandemic COVID 19: A Health Belief Model approach. Clin Epidemiol Glob Heal [Internet]. 9 (June 2020), 41-46. DOI: 10.1016/j.cegh.2020.06.009.
 
Liu, Z. (2018). Patient Engagement at the Household Level: A Feasible Way to Improve the Chinese Healthcare Delivery System Toward People-Centred Integrated Care. Cambridge Quarterly of Healthcare Ethics, 27 (3), 408-420. DOI: 10.1017/S0963180117000792.
 
Marzban, S., Najafi, M., Agolli, A., Ashrafi, E. (2022). Impact of patient engagement on healthcare quality: a scoping review. Journal of patient experience. DOI: 10.1177/23743735221125439
 
Miller, T., Reihlen, M. (2023). Assessing the impact of patient-involvement healthcare strategies on patients, providers, and the healthcare system: a systematic review. Patient education and counseling, 110, 107652. DOI: 10.1016/j.pec.2023.107652
 
Ministry of Health, Republic of Ghana. (2023). 2022 Holistic Assessment Report: Health Sector Annual Programs of Work. https://www.moh.gov.gh/wp-content/uploads/2024/03/2022-Holistic-Assessment-Report_FINAL3.pdf
 
Muscat, D. M., Shepherd, H. L., Nutbeam, D., Trevena, L., McCaffery, K. J. (2021). Health literacy and shared deci-sion-making: exploring the relationship to enable meaningful patient engagement in healthcare. Journal of general internal medicine, 36, 521-524. DOI: 10.1007/s11606-020-05912-0.
 
Naatogmah, A. K. (2022). NHIS @20 clock is ticking. National Health Insurance Scheme. https://www.nhis.gov.gh/News/nhis-@20-clock-is-ticking-----5399
 
Newman, B., Joseph, K., Chauhan, A., Seale, H., Li, J., Manias, E., ... Harrison, R. (2021). Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. Health Expectations, 24 (6), 1905-1923. DOI: 10.1111/hex.13343.
 
Parr, J. M., Teo, S., Koziol-McLain, J. (2021). A quest for quality care: Exploration of a model of leadership relationships, work engagement, and patient outcomes. Journal of Advanced Nursing, 77 (1), 207-220. DOI: 10.1111/jan.14583.
 
Patient Engagement for Medicines Development. (n.d.). Empowering patient engagement in digital health. PFMD.org https://patientfocusedmedicine.org/patient-engagement-in-health-data/.
 
Pokhilenko, I., van Esch, T. E., Brabers, A. E., de Jong, J. D. (2021). Relationship between trust and patient involvement in medical decision-making: A cross-sectional study. Plos one, 16 (8), e0256698. DOI: 10.1371/journal.pone.0256698.
 
Sagen, J. S., Smedslund, G., Simonsen, A. E., Habberstad, A., Kjeken, I., Dagfinrud, H., Moe, R. H. (2023). Patient engagement in the development and delivery of healthcare services: A systematic scoping review. BMJ Open Quality, 12 (2), e002309. DOI: 10.1136/bmjoq-2023-002309
 
Sharma, A. E., Rivadeneira, N. A., Barr-Walker, J., Stern, R. J., Johnson, A. K., Sarkar, U. (2018). Patient engagement in health care safety: an overview of mixed-quality evidence. Health affairs, 37 (11), 1813-1820. DOI: 10.1377/hlthaff.2018.0716.
 
Vat, L. E., Finlay, T., Robinson, P., Barbareschi, G., Boudes, M., Diaz Ponce, A. M., ... Schuitmaker-Warnaar, T. J. (2021). Evaluation of patient engagement in medicine development: A multi-stakeholder framework with metrics. Health Expectations, 24 (2), 491-506. DOI: 10.1111/hex.13191.
 
World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan.
 
World Health Organization. (n.d.). Community engagement for quality health services. https://www.who.int/teams/integrated-health-services/quality-health-services/community-engagement.
 
World Health Organization. Regional. (2025). Strategic Action Framework for Strengthening Community Engagement and Resilience to Health Emergencies in the WHO South-East Asia Region (2025-2029). WHO. https://iris.who.int/handle/10665/379085.
 
World Health Organization. Regional Office for the Western Pacific. (n.d.). Western Pacific Community Engagement Toolkit. WHO. https://who-wpro.ctb.ku.edu.

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Keywords
patient engagement health outcomes trust shared decision making health behaviour

JEL CODES
I18 I12 I11 M38

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