Coproduction of healthcare service

How should practices of co-creation be integrated into health professions education? Although co-creation permits a variety of interpretations, we argue that realizing a transformative vision of cocreation-one that invites professionals to genuinely reconsider the purposes, relationships, norms, and priorities of health care systems through new forms of collaborative thought and practice-will require radically rethinking existing approaches to professional education. The meaningful enactment of co-creative roles and practices requires health professionals and students to negotiate competing traditions, pressures, and expectations. We therefore suggest that the development of what we call an "expansive health care learning system" is crucial for supporting learners in meeting the challenges of establishing genuinely co-creative health care systems. IntroductionCo-creation means bringing together health professionals, patients, providers, and other key stakeholders to jointly address health care problems [1]. If this is to be feasible, then clinicians (and other stakeholders) need to be prepared for co-creation, which would entail ambitious changes to health professions education. That, at least, is what we intend to argue in this article, and, in so doing, we also hope to indicate the breadth and depth of the relevant ambition for medical education. We define what is needed as an "expansive health care learning system" that challenges traditional conceptions of, and boundaries between, teachers and learners and theoretical and practical expertise [2].

Section: Teaching and Enacting Co-creation In Medical Schoolsmentioning

confidence: 99%

Co-Creating an Expansive Health Care Learning System

Cribb

Owens

Singh

2017

“…Co-creation can take a number of different forms, but at heart it represents bringing together key stakeholders to jointly address problems [3]. In medicine, health professionals, patients, providers, and other stakeholders can be involved in co-creation initiatives including achieving professional-patient concordance through shared decision making, personalization of health services, patient self-management or self-care, and interprofessional or interagency collaboration (e.g., among physicians, nurses, dieticians, podiatrists, and a variety of allied health professionals in caring for patients with diabetes) [4]. Co-creation in medicine typically seeks to extend the role of patients or service users in clinical settings and beyond by encouraging their participation in care processes or service design [4].…”

Section: Introductionmentioning

confidence: 99%

What Are the Professional, Political, and Ethical Challenges of Co-Creating Health Care Systems?

Singh

Owens

Cribb

2017

Co-creation is seen by many as a means of meeting the multiple challenges facing contemporary health care systems by involving institutions, professionals, patients, and stakeholders in new roles, relationships, and collaborative practices. While co-creation has the potential to positively transform health care systems, it generates a number of political and ethical challenges that should not be overlooked. We suggest that those involved in envisioning and implementing cocreation initiatives pay close attention to significant questions of equity, power, and justice and to the fundamental challenge of securing a common vision of the aims of and agendas for health care systems. While such initiatives present significant opportunities for improvement, they need to be viewed in light of their accompanying professional, political, and ethical challenges. IntroductionWorldwide there is a growing awareness of the need to adapt health care systems to meet the challenges of the twenty-first century. The reasons for this need are many but include shifting trends in demographics and illness, epidemiological knowledge of the social determinants of health, the radical possibilities of new technologies, and rapidly increasing health care costs as well as relatively long-standing concerns about the need to respect and support the autonomy of patients [1,2].

“…Two marketing professors pushed this concept of customer involvement into the service industry in 2008 [8]. Co-creation in the health care system, similar to the concept of patient-centeredness at the level of individual patient-physician relationships, encourages the involvement of the patient in care but at the level of developing new health care policies that are broadly implemented [9]. Patients thus have an opportunity to aid in the development of policies based on their own experiences.…”

Section: The Development Of Patient-centered Care and Co-productionmentioning

confidence: 99%

What Should Leaders Do When Inefficiency Is Perceived as a Cost of Inclusivity in Strategic Planning Processes in Health Care?

Kochar

Chisty

2017

During the development of new health care policies, quality improvement teams can face the challenge of weighing differing opinions within the group that can hinder progress. It is essential in such cases to refer to the four keys principles of quality improvement (QI) as a guide to enhance group cooperation and promote development of the mutual objective. Co-production is a model that emphasizes the participation of the patient-a service receiver-in the production of services being rendered by the health care professional. By putting into practice the QI principles and using the model of co-production, quality improvement teams can improve efficiency of health systems and clinical outcomes. CaseDr. Stevens chairs her institution's quality improvement council, a group dedicated to implementing hospital policies and procedures that promote optimal resource utilization and best possible clinical outcomes for patients. Every month, a multidisciplinary group of clinicians and administrators meet to discuss progress of recent quality improvement efforts. A particular area of concern has to do with reducing falls among inpatients. Falls can be catastrophic for some patients and can result in increased morbidity. Once they've happened, they can be difficult and costly to manage, and they can influence reimbursement.The quality improvement council hopes to implement and optimize fall prevention initiatives to reduce patients' risk. After several months of planning, Dr. Tarib, a hospitalist, and Mr. Collins, a nurse informaticist, propose a plan that seeks to better integrate the roles of nurses, physical therapists, occupational therapists, medical assistants, and medical students into rehabilitation programs devoted to facilitating patients' walking. A goal of this plan is to integrate effective fall prevention strategies throughout patients' rehabilitation programs.Dr. Stevens notices that the quality improvement council represents many organizational stakeholders whose input is regarded as necessary for implementing new initiatives but does not include former patients. She has read in a recent article that patient