Intersections of Critical Systems Thinking and Community Based Participatory Research in Developing a Web Site for Autistic Adults

Raymaker, D. M. (2000). Intersections of Critical Systems Thinking and Community Based Participatory Research in Developing a Web Site for Autistic Adults [Dissertation, Portland State University]. Portland State University Library. https://doi.org/10.15760/etd.2212

Publication date: 1 Jan 2000 Added to AutiHub: 6 Jul 2026 Type: Dissertation Article language: English

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Authors

Publication authors
1
Publication authors identified as autistic
1 / 1 (100.0%)

Abstract

People with disabilities, including those on the autism spectrum, comprise the world's largest minority and experience significant inequities in Internet use. Existing standards for accessible web sites are necessary but not sufficient without the direct engagement of end users in identifying access needs. Yet little is known about methods for effective engagement, and there are no systematically derived Web accessibility guidelines for autistic end users. Here I explore a hybrid approach to direct engagement using critical systems thinking (CST) and community based participatory research (CBPR) during the co-development of a healthcare-focused web site by the Academic Autism Spectrum Partnership in Research and Education (AASPIRE). I explore these ideas on three levels: theory, practice, and critical self-reflection. On the theory level, I examine the common philosophical and historical roots of CST and CBPR, ways in which they intersect and complement, and propose the hybrid approach exemplified by AASPIRE. On the practice level, I explore our web site development process and evaluate the accessibility, usability, and acceptability of the web site for autistic end users; from that work, comes a set of recommendations for working with people with disabilities in technology development and a set of accessibility guidelines for autistic end users. On the critical self-reflection level, I inquire into my own experiences as an insider-researcher during the web site development. I then synthesize the levels to evaluate whether or not taking a hybrid CST/CBPR approach to web development was effective, as indicated by the team's ability to function as an emancipatory learning organization (an indicator of effective systems thinking on an organizational level), and the overall usability and accessibility of the web site. The result of the synthesis suggests a hybrid CST/CBPR approach was effective. Implications of this work include innovations in CST methods for operationalizing its commitment to human emancipation, potential for drawing a more ideologically-aligned systems thinking literature into the domain of CBPR, a means for individuals wishing to create a more power-balanced learning organization, innovations around including people with disabilities in research and technology development, more accessible web sites for people on the autism spectrum, and a potential small shift of dominant discourse around autism, disability, and the value of insider-researchers over time.

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Bibliography inclusion overview

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Cited references
101
Total cited references integrated for this publication.
Cited references with an identified autistic author
8 / 101 (7.9%)
Cited author occurrences identified as autistic
13 / 248 (5.2%)
Among occurrences linked to AutiHub author records: 13 / 47 (27.7%). Distinct cited authors identified as autistic: 7 / 220 (3.2%).
Cited author occurrences linked to AutiHub author records
47 / 248 (19.0%)
Distinct linked cited authors: 32 / 220 (14.5%)
Linked cited-author occurrences not identified as autistic
34 / 47 (72.3%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 34 / 248 (13.7%). Distinct linked cited authors not identified as autistic: 25 / 32 (78.1%).
  1. Christina Nicolaidis , Dora M Raymaker *Autistic author. Learn more… , Katherine McDonald , Sebastian Dern , Elesia Ashkenazy *Autistic author. Learn more… , W. Cody Boisclair *Autistic author. Learn more… et al. (1985). Natural experiments and the educational context: The environment and effects of an alternative inner‐city public school on adolescents . American Journal of Community Psychology, 13(6), 617-643. Wiley.
    Type: Article DOI: 10.1007/bf00929793 OpenAlex: https://openalex.org/W4083272
    OpenAlex
  2. SHELDON GREENFIELD , SHERRIE KAPLAN , JOHN E. WARE (1985). Expanding Patient Involvement in Care . Annals of Internal Medicine, 102(4), 520-528. American College of Physicians.
    OpenAlex
  3. Linton, Simi (1998). Claiming disability: knowledge and identity . Choice Reviews Online, 35(11), 35-6303-35-6303. American Library Association.
    OpenAlex
  4. Peter Reason , Hilary Bradbury (2006). Handbook of action research .
    Type: Book OpenAlex: https://openalex.org/W585404194
    OpenAlex
  5. Paul T. Jaeger (2011). Disability and the Internet . Lynne Rienner Publishers.
    OpenAlex
  6. Barbara A. Israel , David Satcher (2013). Methods For Community - Based Participatory Research For Health .
    Type: Book OpenAlex: https://openalex.org/W1498878353
    OpenAlex
  7. Harold A. Linstone (1999). Decision making for technology executives: using multiple perspectives to improved performance .
    Type: Book OpenAlex: https://openalex.org/W1501466435
    OpenAlex
  8. Karen Mogendorff (2013). The Blurring of Boundaries between Research and Everyday Life: Dilemmas of Employing One’s Own Experiential Knowledge in Disability Research . Disability Studies Quarterly, 33(2). The Ohio State University Libraries.
    OpenAlex
  9. (1980). The systems approach and its enemies . Business Horizons, 23(3), 85-87. Elsevier BV.
    OpenAlex
  10. Joseph P. Shapiro (1993). No Pity: People with Disabilities Forging a New Civil Rights Movement .
    Type: Book OpenAlex: https://openalex.org/W1523860101
    OpenAlex
  11. Giorgio Brajnik , Yeliz Yesilada , Simon Harper (2011). The Expertise Effect on Web Accessibility Evaluation Methods . Human–Computer Interaction, 26(3), 246-283. Informa UK Limited.
    OpenAlex
  12. Ray Ison (2012). 9 Systems Thinking and Practice for Action Research . In The SAGE Handbook of Action Research (pp. 139-158). SAGE Publications Ltd.
    OpenAlex
  13. Jen Rinaldi (2013). Reflexivity in Research: Disability between the Lines . Disability Studies Quarterly, 33(2). The Ohio State University Libraries.
    OpenAlex
  14. Amarjeet Singh (2012). World Report on Disability . The Indian Journal of Medical Research, 136(1), 104.
    Type: Article OpenAlex: https://openalex.org/W1555951064
    OpenAlex
  15. Miles (1994). Qualitative Data Analysis: An Expanded Sourcebook . Journal of Environmental Psychology, 14(4), 336-337. Elsevier BV.
    OpenAlex
  16. Charlton, James I. (1998). Nothing about us without us: disability oppression and empowerment . Choice Reviews Online, 36(01), 36-0640-36-0640. American Library Association.
    OpenAlex
  17. Michel Foucault , Colin Gordon (1980). Power/Knowledge: Selected Interviews and Other Writings 1972-1977 .
    Type: Book OpenAlex: https://openalex.org/W1597750586
    OpenAlex
  18. Hannah Arendt (1968). Men in Dark Times .
    Type: Book OpenAlex: https://openalex.org/W1601206300
    OpenAlex
  19. Corbett OToole (2013). Disclosing Our Relationships to Disabilities: An Invitation for Disability Studies Scholars . Disability Studies Quarterly, 33(2). The Ohio State University Libraries.
    OpenAlex
  20. Werner Ulrich , Martin Reynolds (2010). Critical Systems Heuristics . In Systems approaches to managing change: a practical guide (pp. 243-292). Springer London.
    OpenAlex
  21. Mark G. Friedman , Diane Nelson Bryen (2007). Web accessibility design recommendations for people with cognitive disabilities . Technology and Disability, 19(4), 205-212. SAGE Publications.
    OpenAlex
  22. Jim Sinclair *Autistic author. Learn more… (2013). Why I dislike “person first” Language . Autonomy, the Critical Journal of Interdisciplinary Autism Studies, 1(2), 2.
    Type: Article OpenAlex: https://openalex.org/W1829568558
    OpenAlex
  23. M A Stewart (1995). Effective physician-patient communication and health outcomes: a review. CMAJ, 152(9), 1423.
    Type: Article OpenAlex: https://openalex.org/W1836470756
    OpenAlex
  24. William M Tierney (2001). Improving clinical decisions and outcomes with information: a review . International Journal of Medical Informatics, 62(1), 1-9. Elsevier BV.
    OpenAlex
  25. Shaliha, Farnaz , Mozaffari, Maryam , Ramezani, Faeze , Hajnasiri, Hamideh , Moafi, Farnoosh (1989). Designing qualitative research . Choice Reviews Online, 27(02), 27-1232-27-1232. American Library Association.
    OpenAlex
  26. Steven Lukes (2005). Power: A Radical View . Macmillan Education UK.
    OpenAlex
  27. Anne Stephens , Chris Jacobson , Christine King (2010). Towards a Feminist-Systems Theory . Systemic Practice and Action Research, 23(5), 371-386. Springer Science and Business Media LLC.
    OpenAlex
  28. Sheldon Greenfield , Sherrie H. Kaplan , John E. Ware , Elizabeth Martin Yano , Harrison J. L. Frank (1988). Patients’ participation in medical care . Journal of General Internal Medicine, 3(5), 448-457. Springer Science and Business Media LLC.
    OpenAlex
  29. Richard L. Street , Gregory Makoul , Neeraj K. Arora , Ronald M. Epstein (2009). How does communication heal? Pathways linking clinician–patient communication to health outcomes . Patient Education and Counseling, 74(3), 295-301. Elsevier BV.
    OpenAlex
  30. Ashleigh Thompson (2013). Disability and the Internet: Confronting a Digital Divide . Contemporary Sociology: A Journal of Reviews, 42(1), 88-89. SAGE Publications.
    OpenAlex
  31. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    OpenAlex
  32. M. C. Jackson (1991). The origins and nature of critical systems thinking . Systems Practice, 4(2), 131-149. Springer Science and Business Media LLC.
    OpenAlex
  33. Paul T. Jaeger (2008). User-Centered Policy Evaluations of Section 508 of the Rehabilitation Act . Journal of Disability Policy Studies, 19(1), 24-33. SAGE Publications.
    OpenAlex
  34. José‐Rodrigo Córdoba (2009). Critical reflection in planning information systems: a contribution from critical systems thinking . Information Systems Journal, 19(2), 123-147. Wiley.
    OpenAlex
  35. José-Rodrigo Córdoba , Gerald Midgley (2008). Beyond organisational agendas: using boundary critique to facilitate the inclusion of societal concerns in information systems planning . European Journal of Information Systems, 17(2), 125-142. Informa UK Limited.
    OpenAlex
  36. Gerald Midgley (1991). The Sacred and Profane in Critical Systems Thinking . In Systems Thinking in Europe (pp. 397-405). Springer US.
    OpenAlex
  37. Kurt Lewin (1946). Action Research and Minority Problems . Journal of Social Issues, 2(4), 34-46. Wiley.
    OpenAlex
  38. Raymond Caldwell (2012). Leadership and Learning: A Critical Reexamination of Senge’s Learning Organization . Systemic Practice and Action Research, 25(1), 39-55. Springer Science and Business Media LLC.
    OpenAlex
  39. STEVEN A. CAVALERI (2005). Systems Thinking for Knowledge . World Futures, 61(5), 378-396. Informa UK Limited.
    OpenAlex
  40. F. P. Wheeler , P. Checkland (2000). Systems Thinking, Systems Practice: Includes a 30-Year Retrospective . The Journal of the Operational Research Society, 51(5), 647. JSTOR.
    Type: Article DOI: 10.2307/254200 OpenAlex: https://openalex.org/W2009310991
    OpenAlex
  41. Michael C. Jackson (2006). Creative holism: a critical systems approach to complex problem situations . Systems Research and Behavioral Science, 23(5), 647-657. Wiley.
    Type: Article DOI: 10.1002/sres.799 OpenAlex: https://openalex.org/W2011570654
    OpenAlex
  42. Gerald Midgley (2006). Systemic Intervention for Public Health . American Journal of Public Health, 96(3), 466-472. American Public Health Association.
    OpenAlex
  43. Rhonda BeLue , Chakema Carmack , Kyle R. Myers , Laurie Weinreb-Welch , Eugene J. Lengerich (2012). Systems Thinking Tools as Applied to Community-Based Participatory Research . Health Education & Behavior, 39(6), 745-751. SAGE Publications.
    OpenAlex
  44. Michael Weiner , Paul Biondich (2006). The Influence of Information Technology on Patient-Physician Relationships . Journal of General Internal Medicine, 21(S1), S35-S39. Springer Science and Business Media LLC.
    OpenAlex
  45. Kenneth J. Arrow (1950). A Difficulty in the Concept of Social Welfare . Journal of Political Economy, 58(4), 328-346. University of Chicago Press.
    Type: Article DOI: 10.1086/256963 OpenAlex: https://openalex.org/W2043278166
    OpenAlex
  46. Brian Kelly , David Sloan , Stephen Brown , Jane Seale , Patrick Lauke , Simon Ball et al. (2009). Accessibility 2.0: Next Steps for Web Accessibility . Journal of Access Services, 6(1-2), 265-294. Informa UK Limited.
    OpenAlex
  47. Robert Louis Flood (2010). The Relationship of ‘Systems Thinking’ to Action Research . Systemic Practice and Action Research, 23(4), 269-284. Springer Science and Business Media LLC.
    OpenAlex
  48. Wendy Hulko (2009). The Time- and Context-Contingent Nature of Intersectionality and Interlocking Oppressions . Affilia, 24(1), 44-55. SAGE Publications.
    OpenAlex
  49. Mike Oliver (1992). Changing the Social Relations of Research Production? Disability, Handicap & Society, 7(2), 101-114. Informa UK Limited.
    OpenAlex
  50. Yu Fu (2011). Designing qualitative research . Organization Management Journal, 8(3), 193-195. Emerald.
    OpenAlex
  51. Carolyn S. Ellis , Arthur P. Bochner (2006). Analyzing Analytic Autoethnography . Journal of Contemporary Ethnography, 35(4), 429-449. SAGE Publications.
    OpenAlex
  52. Rosalie Holian , David Coghlan (2013). Ethical Issues and Role Duality in Insider Action Research: Challenges for Action Research Degree Programmes . Systemic Practice and Action Research, 26(5), 399-415. Springer Science and Business Media LLC.
    OpenAlex
  53. Mary Oschwald , Paula Renker , Rosemary B. Hughes , Anne Arthur , Laurie E. Powers , Mary Ann Curry (2009). Development of an Accessible Audio Computer-Assisted Self-Interview (A-CASI) to Screen for Abuse and Provide Safety Strategies for Women With Disabilities . Journal of Interpersonal Violence, 24(5), 795-818. SAGE Publications.
    OpenAlex
  54. Judi Chamberlin (1999). Nothing About Us Without Us: Disability Oppression and Empowerment . Psychiatric Services, 50(1), 124-124. American Psychiatric Association Publishing.
    OpenAlex
  55. Brigitte Chamak , Beatrice Bonniau , Emmanuel Jaunay , David Cohen (2008). What Can We Learn about Autism from Autistic Persons? Psychotherapy and Psychosomatics, 77(5), 271-279. S. Karger AG.
    OpenAlex
  56. Sherrie H. Kaplan , Sheldon Greenfield , John E. Ware (1989). Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease . Medical Care, 27(Supplement), S110-S127. Ovid Technologies (Wolters Kluwer Health).
    OpenAlex
  57. Bob Dick (2011). Action research literature 2008—2010: Themes and trends . Action Research, 9(2), 122-143. SAGE Publications.
    OpenAlex
  58. William M. Trochim , Derek A. Cabrera , Bobby Milstein , Richard S. Gallagher , Scott J. Leischow (2006). Practical Challenges of Systems Thinking and Modeling in Public Health . American Journal of Public Health, 96(3), 538-546. American Public Health Association.
    OpenAlex
  59. Stefano Federici , Andrea Micangeli , Irene Ruspantini , Stefano Borgianni , Fabrizio Corradi , Emanuele Pasqualotto et al. (2005). Checking an integrated model of web accessibility and usability evaluation for disabled people . Disability and Rehabilitation, 27(13), 781-790. Informa UK Limited.
    OpenAlex
  60. Marie L. Campbell (1998). Institutional Ethnography and Experience as Data . Qualitative Sociology, 21(1), 55-73. Springer Science and Business Media LLC.
    OpenAlex
  61. Peter M. Senge (1991). The fifth discipline, the art and practice of the learning organization . Performance + Instruction, 30(5), 37-37. Wiley.
    OpenAlex
  62. Katherine McDonald , Colleen A. Kidney , Sandra L. Nelms , Michael R. Parker , Ali Kimmel , Christopher B. Keys (2009). Including Adults With Intellectual Disabilities in Research: Scientists' Perceptions of Risks and Protections . Journal of Policy and Practice in Intellectual Disabilities, 6(4), 244-252. Wiley.
    OpenAlex
  63. Edison J. Trickett , Sarah Beehler , Charles Deutsch , Lawrence W. Green , Penelope Hawe , Kenneth McLeroy et al. (2011). Advancing the Science of Community-Level Interventions . American Journal of Public Health, 101(8), 1410-1419. American Public Health Association.
    OpenAlex
  64. Helen Kennedy , Simon Evans , Siobhan Thomas (2011). Can the Web Be Made Accessible for People with Intellectual Disabilities? The Information Society, 27(1), 29-39. Informa UK Limited.
    OpenAlex
  65. Barbara A. Israel , Amy J. Schulz , Edith A. Parker , Adam B. Becker (2001). Community-based Participatory Research: Policy Recommendations for Promoting a Partnership Approach in Health Research . Education for Health: Change in Learning & Practice, 14(2), 182-197. The Network: Towards Unity for Health.
    OpenAlex
  66. R. L. Flood (1990). Liberating Systems Theory: Toward Critical Systems Thinking . Human Relations, 43(1), 49-75. SAGE Publications.
    OpenAlex
  67. Katherine McDonald , Dora M Raymaker *Autistic author. Learn more… (2013). Paradigm Shifts in Disability and Health: Toward More Ethical Public Health Research . American Journal of Public Health, 103(12), 2165-2173. American Public Health Association.
    OpenAlex
  68. Katherine McDonald , Christopher B. Keys (2008). How the Powerful Decide: Access to Research Participation by those at the Margins . American Journal of Community Psychology, 42(1-2), 79-93. Wiley.
    OpenAlex
  69. Arthur David Hall (1989). Metasystems methodology: a new synthesis and unification .
    Type: Book OpenAlex: https://openalex.org/W2145386086
    OpenAlex
  70. Carolyn Ellis , Tony E. Adams , Arthur P. Bochner (2011). Autoethnography: An Overview . Hist. Soc. Res., 36, 273. GESIS - Leibniz Institute for the Social Sciences.
    OpenAlex
  71. David Braddock , Jeffery Hoehl , Shea Tanis , Enid Ablowitz , Laura Haffer (2013). The Rights of People With Cognitive Disabilities to Technology and Information Access . Inclusion, 1(2), 95-102. Informa UK Limited.
    OpenAlex
  72. Katherine McDonald (2012). “We Want Respect”: Adults with Intellectual and Developmental Disabilities Address Respect in Research . American Journal on Intellectual and Developmental Disabilities, 117(4), 263-274. Informa UK Limited.
    OpenAlex
  73. John D. Sterman (1994). Learning in and about complex systems . System Dynamics Review, 10(2-3), 291-330. Wiley.
    OpenAlex
  74. Chloe J. Jordan (2010). Evolution of Autism Support and Understanding Via the World Wide Web . Intellectual and Developmental Disabilities, 48(3), 220-227. Informa UK Limited.
    OpenAlex
  75. Meredith Minkler , Nina Wallerstein (2002). Community-Based Participatory Research for Health .
    Type: Book OpenAlex: https://openalex.org/W2168815104
    OpenAlex
  76. Morten Levin (1994). Action research and critical systems thinking: Two icons carved out of the same log? Systems Practice, 7(1), 25-41. Springer Science and Business Media LLC.
    OpenAlex
  77. M Viswanathan , Alice S. Ammerman , E Eng , G Garlehner , K N Lohr , D Griffith et al. (2004). Community-based participatory research: assessing the evidence. PubMed, 99(99), 1-8.
    Type: Article OpenAlex: https://openalex.org/W2413869919
    OpenAlex
  78. Dora M Raymaker *Autistic author. Learn more… , Christina Nicolaidis (2013). Participatory research with autistic communities: Shifting the system . Worlds of autism: Across the spectrum of neurological difference, 305.
    Type: Article OpenAlex: https://openalex.org/W2468210776
    OpenAlex
  79. John Gaventa , Andrea Cornwall (2015). Power and knowledge . In The SAGE Handbook of Action Research. SAGE Publications Ltd.
    OpenAlex
  80. Huey-Tsyh Chen (2005). A Conceptual Framework of Program Theory for Practitioners . In Practical Program Evaluation (pp. 15-43). SAGE Publications, Inc..
    OpenAlex
  81. BA Israel , A. J. Schulz , EA Parker , A B Becker , AJ Allen , Guzmán et al. (2008). Critical issues in developing and following community based participatory research principles .
    Type: Article OpenAlex: https://openalex.org/W2529138854
    OpenAlex
  82. Michael F. Giangreco (1996). "The Stairs Didn't Go Anywhere!": A Self-Advocate's Reflections on Specialized Services and Their Impact on People with Disabilities. Invited Interview. Physical Disabilities: Education and Related Services, 14(2), 1-12.
    Type: Article OpenAlex: https://openalex.org/W2573662866
    OpenAlex
  83. Christina Nicolaidis , Dora M Raymaker *Autistic author. Learn more… (2015). Community-based participatory research with communities defined by race, ethnicity, and disability: Translating theory to practice . In The SAGE Handbook of Action Research (pp. 167). SAGE Publications Ltd.
    OpenAlex
  84. Jenny Harris , Traolach Brugha , Suzanne Bells McManus , Howard Meltzer , Jane Smith , Fiona Scott et al. (2009). Autism spectrum disorders in adults living in households throughout England: Report from the adult psychiatric morbidity survey 2007 . Research Portal (King's College London).
    Type: Article OpenAlex: https://openalex.org/W2599395273
    OpenAlex
  85. Stanislas Bigirimana (2011). Changing Paradigms in the Information Society: From Analysis to Systems Thinking . The International Journal of Interdisciplinary Social Sciences: Annual Review, 5(11), 1-12. Common Ground Research Networks.
    OpenAlex
  86. John D. Sterman (2000). Business Dynamics: Systems Thinking and Modeling for a Complex World .
    Type: Book OpenAlex: https://openalex.org/W2988934653
    OpenAlex
  87. Cheryl A. Leighty , Joseph P. Shapiro (1994). No Pity: People with Disabilities Forging a New Civil Rights Movement . Michigan Law Review, 92(6), 1953. JSTOR.
    Type: Article DOI: 10.2307/1289622 OpenAlex: https://openalex.org/W3022730379
    OpenAlex
  88. Neesha Mirchandani (2003). Web Accessibility for People with Cognitive Disabilities: Universal Design Principles at Work! PsycEXTRA Dataset. American Psychological Association (APA).
    OpenAlex
  89. (2017). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) . The SAGE Encyclopedia of Abnormal and Clinical Psychology. SAGE Publications, Inc..
    OpenAlex
  90. John Holt (1992). Critical Systems Thinking: Directed Readings . Journal of the Operational Research Society, 43(12), 1183-1184. Informa UK Limited.
    OpenAlex
  91. National Science Foundation (2013). Women, Minorities, and Persons with Disabilities in Science and Engineering: 2013 . PsycEXTRA Dataset. American Psychological Association (APA).
    OpenAlex
  92. Gerald Midgley (1992). The sacred and profane in critical systems thinking . Systems Practice, 5(1), 5-16. Springer Science and Business Media LLC.
    OpenAlex
  93. Ray Ison (2014). Systems Thinking and Practice for Action Research . In The SAGE Handbook of Action Research (pp. 139-158). SAGE Publications Ltd.
    OpenAlex
  94. John Mingers , Werner Ulrich (1996). Critical Heuristics of Social Planning: A New Approach to Practical Philosophy . Journal of the Operational Research Society, 47(4), 596-596. Informa UK Limited.
    OpenAlex
  95. Ulrich, Werner (1983). Critical heuristics of social planning a new approach to practical philosophy .
    Type: Article OpenAlex: https://openalex.org/W7064868620
    OpenAlex
  96. Greenfield, Sheldon , Kaplan, Sherrie H. , Ware, John E., Jr. (1985). Expanding patient involvement in care. Effects on patient outcomes .
    Type: Article OpenAlex: https://openalex.org/W7073813801
    OpenAlex