A critical analysis of the implementation of service user involvement in primary care research and health service development using normalization process theory.

摘要: Background There have been recent important advances in conceptualizing and operationalizing involvement health research health-care service development. However, problems persist the field that impact on scope for meaningful to become a routine – normalized way of working primary care. In this review, we focus current practice critically interrogate factors known be relevant normalization definition, enrolment, enactment appraisal. Method Ours was multidisciplinary, interagency team, with community representation. We searched EBSCO host papers from 2007 2011 engaged an iterative, reflexive approach sampling, appraising analysing literature following principles critical interpretive synthesis using Normalization Process Theory. Findings Twenty-six were chosen 289 papers, as purposeful sample work is reported user field. Few provided clear definition involvement. The dominant identified rationale enrolling users care projects linked policy imperatives co-governance emancipatory ideals. majority methodologies employed standard services methods do not qualify users. This indicates lack congruence between stated aims methods. Most studies only positive outcomes, raising questions about balance or completeness published appraisals. Conclusion To improve care, it necessary encourage explicit reporting definitions, methodological innovation enhance dissemination processes findings.