Article Text

Original research
Systematic review of patient-engagement interventions: potentials for enhancing person-centred care for older patients with multimorbidity
  1. Mathilde Bendix Søgaard,
  2. Katrine Andresen,
  3. Maria Kristiansen
  1. Department of Public Health & Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark
  1. Correspondence to Dr Maria Kristiansen; makk{at}


Introduction Person-centred care based on systematic and comprehensive patient-engagement is gaining momentum across healthcare systems. Providing care that is responsive to the needs, values and priorities of each patient is important for patients, relatives and providers alike, not least for the growing population of older patients living with multi-morbidity and associated complex care trajectories.

Objectives The aim of this systematic review is to investigate the effects of patient engagement interventions for older patients with multimorbidity.

Methods Systematic review conducted in August 2021. Two reviewers independently screened the international databases Embase and PubMed. Reviewers carried out duplicate and independent data extraction and assessment of study quality. Grading of Recommendations Assessment, Development and Evaluation was used to assess the quality of the evidence for each study.

Results We included twelve studies from primary care setting and hospitals. The included studies were heterogeneous in terms of characteristics of populations, types of interventions to enhance patient-engagement, outcome measures and length of follow-up. Nine of the 12 included studies found significant improvements in health and patient-reported outcomes such as higher quality-adjusted life-years, fewer hospital visits and disease specific symptoms. Quality of the included studies was of low to moderate.

Conclusion This review identifies potential beneficial effects of interventions to enhance patient-engagement in older adults with multimorbidity. Nevertheless, the limited and very diverse evidence-based calls for more robust studies into efficient approaches to engaging older adults with multimorbidity in care trajectories.

  • public health
  • geriatric medicine
  • quality in health care

Data availability statement

Data are available on reasonable request. Data from the literature search and selection process are available on reasonable request to the corresponding author.

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Data availability statement

Data are available on reasonable request. Data from the literature search and selection process are available on reasonable request to the corresponding author.

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  • Contributors MBS and KA contributed equally to this paper. MK, MBS and KA designed the study. MBS and KA carried out data collection and analysis. All authors contributed to drafting the manuscript. MK is the guarantor. All authors have read and approved the manuscript.

  • Funding The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by (Nordea-fonden) grant number (02-2013-0200).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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