Optimising service delivery to enhance treatment engagement

How healthcare is delivered has a significant impact on how patients engage in treatment. In many countries, healthcare systems are complex to understand and navigate. This is so both for patients and also for the healthcare workforce. The vast policy and research literature on healthcare service and system change highlights the centrality of person‐centered care for enhancing patient engagement. However, discussion of the underlying issue of how trust is communicated between providers and recipients of care, and how control of decisions is shared (or not) between them is also important if we are to move beyond the superficial notion of patient non‐adherence as “the problem,” and beyond the rhetoric of collaboration in care that is central to treatment engagement.