Aim: To explore how primary healthcare professionals (HCPs) tasked with facilitating primary healthcare service development with patient participation perceived their role. Introduction: Patient participation in health service development is a recognized means of ensuring that health services fit the public’s needs. However, HCPs are often uncertain about how to involve patient representatives (PRs), and patient participation is poorly implemented. Inspired by the Promoting Action on Research Implementation in Health Services framework, we address the innovation (patient participation), its recipients (PRs, HCPs, supervisors, and senior managers), and its context (primary healthcare at a local and organizational level). Methods: We conducted semi-structured individual interviews with six HCPs working as internal facilitators in primary healthcare in four Norwegian municipalities. The data were analyzed by applying Braun and Clarke’s reflexive thematic analysis. Findings: The themes show that to develop primary healthcare services with patient participation, facilitators must establish a network of PRs with relevant skills, promote involvement within their organization, engage HCPs favorable toward patient participation, and demonstrate to supervisors and senior managers its usefulness to win their support. Implementing patient participation must be a shared, collective responsibility of facilitators, supervisors, and senior management. However, supervisors and senior management appear not to fully understand the potential of involvement or how to support the facilitators. The facilitator role requires continuous and systematic work on multiple organizational levels to enable the development of health services with patient participation. It entails maintaining a network of persons with experiential knowledge, engaging HCPs, and having senior management’s understanding and support.

中文翻译：

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通过患者参与促进初级医疗保健服务的发展：挪威内部促进者角色的定性研究

目的：探讨负责通过患者参与促进初级卫生保健服务发展的初级卫生保健专业人员 (HCP) 如何看待自己的角色。简介：患者参与卫生服务发展是确保卫生服务满足公众需求的公认手段。然而，HCP 常常不确定如何让患者代表 (PR) 参与，而且患者参与执行得也很差。受促进卫生服务研究实施行动框架的启发，我们讨论了创新（患者参与）、其接受者（PR、HCP、主管和高级管理人员）及其背景（地方和组织层面的初级卫生保健）。方法：我们对在挪威四个城市担任初级医疗保健内部协调员的六名 HCP 进行了半结构化个人访谈。通过应用布劳恩和克拉克的反思主题分析来分析数据。结果：主题表明，要发展患者参与的初级卫生保健服务，促进者必须建立一个具有相关技能的公关网络，促进其组织内的参与，吸引有利于患者参与的 HCP，并向主管和高级管理人员展示其赢得胜利的有用性他们的支持。实施患者参与必须是协调员、主管和高级管理层的共同责任。然而，主管和高级管理层似乎并不完全了解参与的潜力或如何支持协调员。促进者的角色需要在多个组织层面进行持续、系统的工作，以促进患者参与的卫生服务的发展。它需要维持一个具有经验知识的人员网络、吸引 HCP 并获得高级管理层的理解和支持。