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Canadian Patient Partner Study

Patients and family caregivers are contributing to an ever-widening array of roles and activities as part of the growing patient engagement movement. In Canada, the role of patient partners and advisors has grown in popularity and is supported by legislation, provincial frameworks and major organizational and strategic initiatives across the country. Through these roles, patients and family members are contributing, for example, to research and quality improvement, health services planning and design, and the evaluation of health technologies and related policy-making, yet our understanding of this growing community of partners and advisors is limited. 

About the Project

The aim of this research is to gain an in-depth understanding of the patient partner and advisor role as an emerging resource to the Canadian health system. We will describe, map and explore the community of patient partners and advisors across the country, assess the prospects for this role to contribute to health system decision-making and policy, and identify the challenges it faces and how these might be addressed. 

Watch Understanding patient partnership in Canadian health systems: Lessons from the Canadian Patient Partner Survey with Julia Abelson (PPEC) and Carolyn Canfield (Patient Advisors Network) to learn about key findings from the survey.

You can also learn more about this study by watching Alberta SPOR SUPPORT Unit’s (AbSPORU) webinar on Understanding patient partnership in health systems: lessons from the Canadian patient partner survey, hosted by the AbSPORU Patient Engagement Journal Club.

Project Outputs

Our project activities are ongoing. We have completed the systematic review of the literature and the survey. Analysis and reporting on each of these activities is ongoing. We have completed the systematic review of the literature and the survey and are currently interviewing patient and organizational partners. Outputs from the project are included below.

The latest paper out of our large pan-Canadian survey of patient partners engaged in Canadian health system settings tackles the topic of compensation in patient partnership, asking over 500 patient partners what types of compensation they’d been offered, whether they felt adequately compensated, and why they wanted to be compensated (or not).

Article: Patient partner perspectives on compensation: Insights from the Canadian Patient Partner Survey, Health Expectations, January 15, 2024

In this paper, published in SSM – Qualitative Research in Health, we explore the meanings ascribed to concepts of expert, expertise, and experience within the field of patient engagement. Our analysis is based on qualitative responses to one target question: “Do you think the lived experience you bring to your patient partner role makes you an expert?

Article: Exploring meanings of expert and expertise in patient engagement activities: A qualitative analysis of a pan-Canadian survey, SSM – Qualitative Research in Health, vol 4, December 2023

This systematic review, published in Health Research Policy and Systems, describes extant work on how patient partners are conceptualized and engaged in health systems. In doing so, it furthers the understanding of the role and activities of patient partners, and best practices for future patient partnership activities.

Article: Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis, Health Research Policy and Systems, January 25, 2023

The first article based on the CPPS survey has been published in Health Expectations. The focus of this article is on the impacts of COVID-19 on patient engagement and partnering based on the survey questions: Did COVID-19 affect your patient partnering activities? If so, how? 

Our results identify the various ways in which COVID-19 affected patient partnering activities, along with the benefits and challenges of the switch to virtual/remote engagement activities. We discuss how we can build on the innovations and successful adaptations that were made during COVID-19, as well as the supports that will be needed to sustain these approaches in the future. 

Article: The impact of COVID-19 on patient engagement in the health system: Results from a Pan-Canadian survey of patient, family and caregiver partners, Health Expectations, January 13, 2022

This article presents the main results of the CPPS survey. Published in BMJ Open the focus of this article is on the sociodemographic characteristics, activities, motivations, experiences, skills and challenges of patient partners working across multiple health system settings in Canada.  

Article: Understanding patient partnership in health systems: lessons from the Canadian patient partner survey, BMJ volume 12, issue 9 (updated September 1, 2022)

Webinars

Understanding patient partnership in Canadian health systems: Lessons from the Canadian Patient Partner Survey, hosted by the Public and Patient Engagement Collaborative

Understanding patient partnership in health systems: lessons from the Canadian patient partner survey, hosted by the AbSPORU Patient Engagement Journal Club, November 2022

Research Phases

Literature Review

A synthesis of empirical and theoretical literature about patient partner and advisor roles

Surveys

A survey of patient partners and advisors across Canada

Interviews

In-depth interviews to explore the experiences of patient partners and advisors and the partner organizations they join

Research Analysis

An assessment of the prospects of patient partners/advisors as an emerging resource to health systems

Our Research Partners

Our team brings together the necessary research, policy, health system, clinical and patient expertise from across Canada to tackle this project in a uniquely rigorous and creative way. The PPEC has partnered with researchers, patient partners and patient engagement professionals from the Nova Scotia Health Authority, the Patient Advisors Network, the University of Calgary and the University of Toronto. 

Diagram of research partners. McMaster University, co-leads: Julia Abelson and Meredith Vanstone Patient Advisors Network: Carolyn Canfield and Mary Ann Lavasseur Nove Scotia Health Authority: Geoff Wilson UHN: Paula Rowland University of Calgary: Pierre-Gerlier Forest and Myle Leslie

Our Funder