Public Engagement in Health Policy-Making for Older Adults: A Systematic Search and Scoping Review

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2024-08-26 DOI:10.1111/hex.70008

Jeonghwa You, Rebecca Ganann, Michael Wilson, Soo Chan Carusone, Maggie MacNeil, Carly Whitmore, Andrea Dafel, Roma Dhamanaskar, Eugenia Ling, Lance Dingman, A. Tina Falbo, Michael Kirk, Joyce Luyckx, Penelope Petrie, Donna Weldon, Katherine Boothe, Julia Abelson

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引用次数: 0

Abstract

Introduction

As the world's population ages, there has been increasing attention to developing health policies to support older adults. Engaging older adults in policy-making is one way to ensure that policy decisions align with their needs and priorities. However, ageist stereotypes often underestimate older adults' ability to participate in such initiatives. This scoping review aims to describe the characteristics and impacts of public engagement initiatives designed to help inform health policy-making for older adults.

Methods

A systematic search of peer-reviewed and grey literature (English only) describing public engagement initiatives in health policy-making for older adults was conducted using six electronic databases, Google and the Participedia website. No geographical, methodological or time restrictions were applied to the search. Eligibility criteria were purposefully broad to capture a wide array of relevant engagement initiatives. The outcomes of interest included participants, engagement methods and reported impacts.

Results

This review included 38 papers. The majority of public engagement initiatives were funded or initiated by governments or government agencies as a formal activity to address policy issues, compared to initiatives without a clear link to a specific policy-making process (e.g., research projects). While most initiatives engaged older adults as target participants, there was limited reporting on efforts to achieve participant diversity. Consultation-type engagement activities were most prevalent, compared to deliberative and collaborative approaches. Impacts of public engagement were frequently reported without formal evaluations. Notably, a few articles reported negative impacts of such initiatives.

Conclusion

This review describes how public engagement practices have been conducted to help inform health policy-making for older adults and the documented impacts. The findings can assist policymakers, government staff, researchers and seniors' advocates in supporting the design and execution of public engagement initiatives in this policy sector.

Patient or Public Contribution

Older adult partners from the McMaster University Collaborative for Health and Aging provided strategic advice throughout the key phases of this review, including developing a review protocol, data charting and synthesis and interpreting and presenting the review findings. This collaborative partnership was an essential aspect of this review, enhancing its relevance and meaningfulness for older adults.

Abstract Image

查看原文本刊更多论文

老年人健康政策制定中的公众参与：系统检索和范围审查》。

导言：随着世界人口的老龄化，制定支持老年人的卫生政策日益受到关注。让老年人参与决策是确保政策决定符合老年人需求和优先事项的一种方式。然而，年龄歧视的陈旧观念往往低估了老年人参与此类活动的能力。本范围界定综述旨在描述旨在为老年人健康决策提供信息的公众参与活动的特点和影响：方法：我们使用六个电子数据库、谷歌和 Participedia 网站对同行评议和灰色文献（仅限英文）进行了系统性检索，这些文献介绍了老年人健康政策制定过程中的公众参与活动。搜索没有地域、方法或时间限制。资格标准非常宽泛，以涵盖一系列相关的参与计划。关注的结果包括参与者、参与方法和报告的影响：本综述包括 38 篇论文。大多数公众参与活动都是由政府或政府机构资助或发起的，作为解决政策问题的一项正式活动，而非与特定政策制定过程有明确联系的活动（如研究项目）。虽然大多数倡议都将老年人作为目标参与者，但关于为实现参与者多样性所做努力的报告很有限。与审议和合作方法相比，协商型参与活动最为普遍。公众参与的影响经常在没有正式评估的情况下进行报道。值得注意的是，有几篇文章报道了此类活动的负面影响：本综述介绍了如何通过公众参与实践来帮助老年人制定健康政策，以及所产生的有据可查的影响。研究结果可以帮助政策制定者、政府工作人员、研究人员和老年人权益倡导者支持这一政策领域的公众参与计划的设计和实施：麦克马斯特大学健康与老龄化合作组织（McMaster University Collaborative for Health and Aging）的老年人合作伙伴在本研究的关键阶段提供了战略性建议，包括制定研究方案、数据图表和综合以及解释和展示研究结果。这种协作伙伴关系是本综述的一个重要方面，增强了综述对老年人的相关性和意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.