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Patient participation can be seen as an end in and of itself, and it can be seen as a way to foster further goals like quality and safety in healthcare, adherence and cost-effectiveness. Wide-scale implementation of interventions to increase patient participation without having confidence in its measures means being unable to determine if implementation was successful or the desired outcome was achieved. Therefore, we were pleased to see a review of measures assessing patient participation in healthcare.
However, we have some major concerns about the conceptual approach, the method and the conclusions in the …
Competing interests All authors have published at least one of the instruments that were omitted in this review. Furthermore, IS published a systematic review of measures that assess shared decision-making.2
Provenance and peer review Commissioned; internally peer reviewed.