RESUMEN
BACKGROUND: Patient engagement is the active collaboration between patient partners and health system partners towards a goal of making decisions that centre patient needs-thus improving experiences of care, and overall effectiveness of health services in alignment with the Quintuple Aim. An important but challenging aspect of patient engagement is including diverse perspectives particularly those experiencing health inequities. When such populations are excluded from decision-making in health policy, practice and research, we risk creating a healthcare ecosystem that reinforces structural marginalisation and perpetuates health inequities. APPROACH: Despite the growing body of literature on knowledge coproduction, few have addressed the role of power relations in patient engagement and offered actionable steps for engaging diverse patients in an inclusive way with a goal of improving health equity. To fill this knowledge gap, we draw on theoretical concepts of power, our own experience codesigning a novel model of patient engagement that is equity promoting, Equity Mobilizing Partnerships in Community, and extensive experience as patient partners engaged across the healthcare ecosystem. We introduce readers to a new conceptual tool, the Power Wheel, that can be used to analyse the interspersion of power in the places and spaces of patient engagement. CONCLUSION: As a tool for ongoing praxis (reflection +action), the Power Wheel can be used to report, reflect and resolve power asymmetries in patient-partnered projects, thereby increasing transparency and illuminating opportunities for equitable transformation and social inclusion so that health services can meet the needs and priorities of all people.
Asunto(s)
Equidad en Salud , Participación del Paciente , Humanos , Política de SaludRESUMEN
Using a sample of 72 university students, we determined whether administering the Boston Naming Test (BNT) before the Test of Memory Malingering (TOMM) affects scores on the latter test and whether administration of a visual test during the interval between TOMM Trial 2 and the TOMM Retention Trial (TOMM-R) influences results on TOMM-R. Four orders of administration were used. A series of nonparametric tests indicated that when the BNT was given before the TOMM, a lower median TOMM Trial 1 (TOMM-1) score emerged. However, of the 36 participants who completed the BNT prior to administration of the TOMM, only one achieved a score < 45 on TOMM-1. There were no other significant findings. Overall, the results suggest that order of test administration is probably not a determinant of TOMM scores.
Asunto(s)
Simulación de Enfermedad/diagnóstico , Trastornos de la Memoria/diagnóstico , Pruebas Neuropsicológicas , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estadísticas no Paramétricas , Adulto JovenRESUMEN
The goal was to examine the relationship between the number of psychology courses students have taken and their perceptions of psychology as a science. Additionally, differences in perceptions of psychology among psychology, education, and natural science majors were examined. Results indicated that students who had taken four or more psychology courses had more favorable perceptions of psychology as a science compared to those who had taken no courses or one course and those who had taken two to three courses. No significant differences in overall perceptions of psychology emerged among students in the three majors.