2021
DOI: 10.2196/27125
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Improving Health for People Living With Heart Failure: Focus Group Study of Preconditions for Co-Production of Health and Care

Abstract: Background Co-production of health and care involving patients, families of patients, and professionals in care processes can create joint learning about how to meet patients’ needs. Although barriers and facilitators to co-production have been examined previously in various health care contexts, the preconditions in Swedish chronic cardiac care contexts are yet to be explored. This study is set in the health system of the Swedish region of Jönköping County and is part of system-wide efforts to pro… Show more

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Cited by 6 publications
(9 citation statements)
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“…However, there are challenges to PWHF being equal partners to healthcare professionals. PWHF may experience a poor physical capability, making it difficult to cope with life, which can be a barrier to being engaged in healthcare services [ 2 ]. Furthermore, cognitive decline [ 3 ] and low health literacy (HL) among PWHF [ 1 , 4 9 ], may make it difficult for them to understand and engage in healthcare service activities.…”
Section: Introductionmentioning
confidence: 99%
“…However, there are challenges to PWHF being equal partners to healthcare professionals. PWHF may experience a poor physical capability, making it difficult to cope with life, which can be a barrier to being engaged in healthcare services [ 2 ]. Furthermore, cognitive decline [ 3 ] and low health literacy (HL) among PWHF [ 1 , 4 9 ], may make it difficult for them to understand and engage in healthcare service activities.…”
Section: Introductionmentioning
confidence: 99%
“…The district’s hospital and PCCs serve an ageing population, with chronic heart disease being a major cause of morbidity and mortality. This context, with its long tradition of healthcare quality improvement activities,16 32–36 has an ambition to incorporate patients’ and family members’ involvement in care improvement initiatives as a part of routine care 37. Also, the health district and the region’s municipalities and university have agreed to collaborate in research and education.…”
Section: Methodsmentioning
confidence: 99%
“…Although the study context has a long tradition of healthcare improvements,16 32–36 structured involvement of patients, family members and citizens is not yet widespread. Therefore, in this particular context, both patients, family members and healthcare professionals, need to colearn how to take each other’s perspectives into consideration in healthcare quality improvement projects and research.…”
Section: Methodsmentioning
confidence: 99%
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“…A semi-structured interview guide (Table 2) was designed for the focus group interviews. In accordance with Suutari (2021), the word ' co-production' was considered unclear, both semantically and as a previously unfamiliar concept in the Swedish context. To translate the concept of co-production into meaningful and operationalizable terms for the staff, the more commonly used concept of ' collaboration' was used in the interviews.…”
Section: Data Collectionmentioning
confidence: 99%