It Takes Two to Tango: Customization and Standardization as Colluding Logics in Healthcare Comment on "(Re) Making the Procrustean Bed Standardization and Customization as Competing Logics in Healthcare"

Greenfield, David; Eljiz, Kathy; Butler-Henderson, Kerryn

doi:10.15171/ijhpm.2017.77

Cited by 9 publications

(14 citation statements)

References 13 publications

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“…Standardized roles and routines, governed by tight norms and rules need to be balanced with individual customization. Here, co-producing healthcare inevitably is a holistic approach, implying tailoring processes and services to the understanding, beliefs, wishes, and needs of the patient and the family (Greenfield et al, 2018 ). In other words, healthcare professionals have to make sense of an immigrant patient’s narrative and integrate this knowledge in the usual work processes in healthcare.…”

Section: Discussionmentioning

confidence: 99%

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Radl-Karimi

Nicolaisen

Sodemann

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Purpose Immigrant patients run a risk of receiving lower quality of care. Co-production, as the concept of how to collaboratively create valuable healthcare service for the patient, offers a new perspective that might help. The scoping review aimed at identifying and analysing factors facilitating co-production between immigrant patients and healthcare professionals. Methods We searched seven scientific databases for peer-reviewed publications of all study designs. Two reviewers independently screened the publications for eligibility and performed data extraction. Data were analysed by applying an inductive, interpretive approach for data synthesis. Results Fifteen publications were included for analysis. We identified six factors hat facilitate co-production: 1) prioritizing co-production in the organization, 2) providing a safe environment that promotes trust and patience, 3) using a language the patient understands, 4) respecting the patient’s knowledge and priorities, 5) improvising with knowledge and courage, and 6) engaging in self-reflection. Conclusions The scoping review illustrated that co-production with immigrant patients can be successful if the system and professionals are interested and prepared. Immigrant patients could be a valuable source of information and powerful co-producers of their own health. The study contributed to a growing body of research on patient-professional co-production in healthcare and might also prove relevant for other disadvantaged patient groups.

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Section: Discussionmentioning

confidence: 99%

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Radl-Karimi

Nicolaisen

Sodemann

et al. 2020

International Journal of Qualitative Studies on Health and Well

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“… Demands for standardization and customization permeate the healthcare system without clear connection to specific actors. The clinical pathway and existing guidelines call for parallel handling of the demands, supporting the view that combined strategies are needed [ 19 , 21 ]. The two rationales for standardization may be related to different attitudes to the demand [ 23 , 50 , 51 ] and deserves further investigation.…”

Section: Discussionmentioning

confidence: 99%

Value configurations for balancing standardization and customization in chronic care: a qualitative study

Colldén

Hellström

Gremyr

2021

BMC Health Serv Res

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Background Demands for both customization and standardization are increasing in healthcare. At the same time, resources are scarce, and healthcare managers are urged to improve efficiency. A framework of three value configurations – shop, chain, and network – has been proposed for how healthcare operations can be designed and organized for efficient value creation. In this paper, use of value configurations for balancing of standardization and customization is explored in the context of care for chronic mental conditions. Methods A typical case is presented to illustrate the manifestations of conflicting demands between customization and standardization, and the potential usefulness of the value configurations framework. Qualitative data were collected from managers and care developers in two focus groups and six semi-structured interviews, completed by a national document describing a care pathway. Data were coded and analysed using an insider-outsider approach. Results Operationalization of the balance between standardization and customization were found to be highly delegated and ad hoc. Also, the conflict between the two demands was often seen as aggravated by scarce resources. Value configurations can be fruitful as a means of discussing and redesigning care operations if applied at a suitable level of abstraction. Applied adequately, all three value configurations were recognized in the care operations for the patient group, with shop as the overarching configuration. Some opportunities for improved efficiency were identified, yet all configurations were seen as vital in the chronic care process. Conclusions The study challenges the earlier proposed organizational separation of care corresponding to different value configurations. Instead, as dual demand for customization and standardization permeates healthcare, parallel but explicated value configurations may be a path to improved quality and efficiency. Combined and intermediate configurations should also be further investigated.

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“…Em busca de evidências que fundamentem a prática profissional, a enfermagem precisa demonstrar que os cuidados prestados estão associados a resultados adequados e a um alto grau de qualidade e segurança e para isto a padronização da linguagem é necessária. Esta por sua vez é a promulgação de atividades de cuidado destinadas a promover uniformidade, estabilidade e comensurabilidade do pensamento, significado, ações e resultados profissionais (3,4) . oncologia Almeida, G.L.…”

Section: Barbara Gabriela Galdino Dos Santosunclassified

Termo adequado para feridas resultantes de processos oncológicos: uma revisão integrativa

Almeida¹,

Nascimento²,

Souza³

et al. 2020

Nursing (São Paulo)

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Objetivo: Identificar o termo adequado para as feridas resultantes de processos oncológicos a partir das evidências da literatura. Métodos: Trata-se de uma revisão integrativa da evidência científica. Uma busca foi realizada nos bancos de dados: LILACS, MEDLINE, Scielo e IBECS sobre artigos publicados no período de 2007 a 2019. Resultados: Foram incluídos 18 artigos com desenho de estudos mais frequentes sendo o transversal (n:06). 5 termos foram encontrados, sendo o mais utilizado, “ferida maligna” (n:08). Dentre as características definidoras das feridas, as mais frequentes foram: mau odor (n:18), exsudato (n:17) e dor (n:17). Quanto à causa destas lesões, a maior frequência dos artigos (n:10) apresentaram a infiltração da pele por câncer primário ou metástase. Conclusão: Apesar de vários termos serem empregados para estas lesões, a causa e as características definidoras são as mesmas. O termo “ferida maligna” foi identificado como mais adequado, tanto pela frequência de uso como pela semântica.

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It Takes Two to Tango: Customization and Standardization as Colluding Logics in Healthcare Comment on "(Re) Making the Procrustean Bed Standardization and Customization as Competing Logics in Healthcare"

Cited by 9 publications

References 13 publications

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Value configurations for balancing standardization and customization in chronic care: a qualitative study

Termo adequado para feridas resultantes de processos oncológicos: uma revisão integrativa

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