As many developed health systems grapple with the reorientation of their systems to those that are commissioning led, consumer engagement has emerged as an important theme. Despite many governments asserting the importance of consumer engagement in commissioning, an evidence base is yet to be developed to support this approach. This paper identifies the challenges and gaps in the literature relating to consumer engagement and commissioning, before setting out five potential solutions to these challenges. Ultimately, consumer engagement needs clarity of purpose and any approach should be tailored to context. Effective client involvement needs time and investment. To embark on such a process without this effort can be counterproductive.

中文翻译：

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通过调试方法重新定位卫生系统：寻找解决方案以提高消费者参与度。

随着许多发达的卫生系统努力将其系统重新定位为以调试为主导的系统，消费者参与已成为一个重要主题。尽管许多政府宣称消费者参与调试非常重要，但仍需建立证据基础来支持这种方法。在确定针对这些挑战的五种潜在解决方案之前，本文确定了与消费者参与和调试相关的文献中的挑战和差距。最终，消费者参与需要明确目的，任何方法都应根据具体情况进行调整。有效的客户参与需要时间和投资。如果不付出这种努力就着手进行这样的过程可能会适得其反。