Health projects should involve patients and whānau from the start, experts say

Publicly released:
New Zealand
Photo by Dylan Gillis on Unsplash
Photo by Dylan Gillis on Unsplash

Involving patients and whānau in service design has helped reduce seclusion in mental health facilities, write experts in a NZMJ Viewpoint article. In 2017, over 40% of those who experienced the potentially harmful practice of being placed in seclusion were Māori. However, this equity gap was reduced by over 20% by late 2022, thanks to a kete of interventions designed in partnership between service users and clinical and cultural experts. The authors describe and recommend the 'front-loaded' process, involving Māori and users of healthcare services in governance and design of projects from the beginning, which they say was critical for this success.

Media release

From: Pasifika Medical Association Group

Often, involving patients, families and whānau in the design of healthcare solutions and projects, known as co-design, makes the mistake of bringing in people after key decisions about the project are made. These key decisions can include understanding of what the problem really is that the project is trying to address. We argue for “true” co-design where patients, families and whānau are involved right from the beginning, and show evidence from mental health, where true co-design has reduced rates of seclusion in mental health facilities. (Seclusion is where a person in need of care is placed in a room alone.)

Journal/
conference:
New Zealand Medical Journal
Organisation/s: Te Tāhū Hauora – New Zealand Health Quality & Safety Commission
Funder: N/A
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