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Background <p>Population health activation is thought to extend beyond individual patient engagement, emphasising community-wide participation in health management. This contrasts with the original patient activation measure developed by Hibbard and colleagues in 2010. This qualitative study thus investigates how population health experts conceptualise health activation on a population level.</p> Methods <p>Adopting a critical realist epistemology, semi-structured interviews were conducted with experts from health policy, health care systems, and community health across various institutions in Singapore. Purposive sampling was used to recruit experts with over five years of relevant experience. Interviews, lasting approximately 60&#xa0;min each, were audio-recorded, transcribed verbatim, and analysed inductively using reflexive thematic analysis, following Braun and Clarke’s framework.</p> Results <p>A total of 18 population health experts were interviewed. No new ideas or concepts emerged after the 15th interview; an additional three interviews were conducted to ensure saturation. Based on the findings, three major themes were generated: (1) Health activation is dynamic and influenced by external life circumstances such as competing responsibilities; (2) Emotional readiness and psychological resilience are critical prerequisites for meaningful health activation, beyond mere knowledge or skills; and (3) Social support networks and health care system structures are important in enabling or inhibiting health activation. Based on these insights, we propose a preliminary conceptual framework for health activation interventions that integrates emotional, social, and systemic dimensions.</p> Conclusion <p>In summary, the findings advance the understanding of population health activation by proposing a broader and more dynamic conceptualisation, and they highlight the need for flexible adaptable strategies in population health, where engagement must be maintained over time and across diverse subpopulations. By focusing on emotional resilience, psychological preparedness and external support structures, health care systems can better promote and sustain individual health activation. Future research should empirically test this and incorporate additional perspectives from the public and patients.</p>

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Bridging individual and population perspectives: a qualitative inquiry into health activation with population health experts

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月19日

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  • Qin Xiang Ng,
  • Justin Guang Jie Lee,
  • Kevin Xiang Zhou,
  • Gerald Choon Huat Koh

摘要

Background

Population health activation is thought to extend beyond individual patient engagement, emphasising community-wide participation in health management. This contrasts with the original patient activation measure developed by Hibbard and colleagues in 2010. This qualitative study thus investigates how population health experts conceptualise health activation on a population level.

Methods

Adopting a critical realist epistemology, semi-structured interviews were conducted with experts from health policy, health care systems, and community health across various institutions in Singapore. Purposive sampling was used to recruit experts with over five years of relevant experience. Interviews, lasting approximately 60 min each, were audio-recorded, transcribed verbatim, and analysed inductively using reflexive thematic analysis, following Braun and Clarke’s framework.

Results

A total of 18 population health experts were interviewed. No new ideas or concepts emerged after the 15th interview; an additional three interviews were conducted to ensure saturation. Based on the findings, three major themes were generated: (1) Health activation is dynamic and influenced by external life circumstances such as competing responsibilities; (2) Emotional readiness and psychological resilience are critical prerequisites for meaningful health activation, beyond mere knowledge or skills; and (3) Social support networks and health care system structures are important in enabling or inhibiting health activation. Based on these insights, we propose a preliminary conceptual framework for health activation interventions that integrates emotional, social, and systemic dimensions.

Conclusion

In summary, the findings advance the understanding of population health activation by proposing a broader and more dynamic conceptualisation, and they highlight the need for flexible adaptable strategies in population health, where engagement must be maintained over time and across diverse subpopulations. By focusing on emotional resilience, psychological preparedness and external support structures, health care systems can better promote and sustain individual health activation. Future research should empirically test this and incorporate additional perspectives from the public and patients.