There is very little work published on the subject of patient and public involvement (PPI) in the implementation of evidence in healthcare. It appears that different understandings of PPI and of implementation make this a difficult subject to research effectively. We decided to review publications that might help us to understand how PPI and implementation are thought about in different research traditions, and to build on these foundations.
This CLAHRC West Midlands study draws on methods outlined by Greenhalgh and colleagues for their work on the diffusion of innovation. The researchers consulted experts on patient and public involvement and on the implementation of evidence in healthcare, and also held discussions with patient and public involvement advisors for the West Midlands Collaboration for Leadership in Applied Health and Care. Key journals and papers from many different research traditions were identified, to gather a wide range of ideas. From these, we have selected a set of concepts which we are using to suggest a framework for further research, based on PPI roles and on ideas about absorptive capacity in the complex context of healthcare.