In the evolving vista of clinical and health services research, a novel paradigm is taking shape, one that champions public participation as its bedrock. The Institute of General Practice and Health Services Research at the Technical University of Munich has emerged at the forefront of this movement. This watershed event heralds a significant shift, surging beyond conventional research sovereignty to extend a collaborative hand to those hitherto mere subjects of study: the patients and the public. Crafting a citizens advisory board is no small undertaking, and detailing its inception demands not only our attention but careful study to glean the kernels of wisdom it bears for the future of participatory research.


1. Participatory Research in Primary Care
2. Citizens Advisory Board Health Research
3. Patient Public Involvement Clinical Studies
4. General Practice Health Services Research
5. Qualitative Health Research Participation

January 2024 beams a spotlight on a compelling narrative unfolding within the esteemed pages of the Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen (The Journal for Evidence, Education, and Quality in Health Services). With an eye towards enriching the tapestry of research in primary care, a paper delineates the meticulous process encompassing the conception, mobilization, and eventual crystallization of an initiative tantamount to a sea change in research ethos—the constitution of a citizens advisory board at the Technical University of Munich.

Distilled from the quills of Jan J. Gehrmann et al., this paper bounds forth under the DOI: 10.1016/j.zefq.2023.11.003. It unfolds a narrative supported by rigorous methodological underpinnings aimed at elucidating the rites of passage that morphed the mere specter of public participation into an actualized consultative entity.

In total, through a diverse array of recruitment pathways, twelve individuals were hyphened into the fold to partake in what would be known as the kick-off event. It was not merely their number that bespoke the weight of the movement but the mosaic of motivations and unwavering commitment to the augmentation of research quality and healthcare delivery they bore.


1. Partizipation in der allgemeinmedizinischen Forschung – Von der Idee bis zur Gründung eines Bürger*innenbeirats. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen. Volume(issue), Page numbers. DOI: [provided] 2. Arnstein, S. R. (1969). A Ladder of Citizen Participation. JAIP, 35(4), 216-224.
3. Brett, J., Staniszewska, S., Mockford, C., Herron-Marx, S., Hughes, J., Tysall, C., & Suleman, R. (2014). Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expectations, 17(5), 637-650.
4. Tricco, A. C., Zarin, W., & Lillie, E. (2018). Engaging Patients in Health Research: Identifying Research Priorities Through Community Town Halls. BMC Health Services Research, 18, 192.
5. INVOLVE. (2012). Briefing notes for researchers: public involvement in NHS, public health and social care research. Eastleigh: INVOLVE.

The crystallizing event was emblematic of a turning tide in research—a clarion call advocating for a transfiguration of the typical investigator-subject dynamic. This event was not just about accruing feedback; it was a resonant declaration of the intent to weave the layperson’s insights into the very fabric of investigative practice.

The varying motivations of the attendees, dense with personal narratives and a united quest for reconceptualized care, underscored the need to plumb the depths of participative modalities. Moreover, the participants, though armed with personal health experiences and civic spirits, grappled with the precise demarcation of their roles within the research continuum.

The meeting, while vibrant with the promise of potent dialogues to come, unveiled a glaring necessity—the need for lucid expositions on the anatomy of participatory research and the potential role of patients and civilians within that frame. Notably, a poignant question loomed—how does one redefine their identity within the echelons of research: as a patient, a citizen, or an amalgam of both?

These inaugural deliberations have set in motion a series of workshops calibrated to hone the synergy between researchers and laypersons and to elucidate the rudimentary principles of primary care research. The envisioned trajectory is a sustained engagement, one likely to imbue research trajectories with qualitative dimensions previously unchartered in the context of primary care.

Embarking on this journey entails scouting the horizon for certain tenets pivotal to the integrity of the advisory board. These range from solidifying mutual understanding of participation spectra to sculpting the identity and roles within the initiative’s framework. The spotlight turns not just inward, on the participants, but also outward, in setting up clear and open lines of communication towards the wider health services research community.

The paper, while markedly a document of its times, extends an implicit invitation to the reader—beckoning other entities, other academic citadels, to partake of this reflective odyssey. “Wander into the unknown, for herein lies the potential for transformation,” it seems to whisper between lines steeped in the practicalities of institution-building.

The ink that has dried on the pages of the Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen captures an inflection point and much like the research it seeks to imbue. It is not an end unto itself but a marker, not merely chronicling a pioneering enterprise but advocating for replication, for depth, for dusks that shall see a myriad of citizens advisory boards inform the amelioration of research and care.

It beckons us to look beyond the mere publication to the living, breathing ecosystem it aspires to invigorate—an ecosystem where those once silenced are given voice, their experiences affording research a hue as invaluable as it is genuine. And in so doing, health services research can only but edge closer to the zenith of relevance and quality it ceaselessly seeks to attain.