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The Role of Co-design and Co-production in Improving Healthcare Services: Conclusion and Future Research Agenda

  • Sharon J. WilliamsEmail author
  • Lynne Caley
Chapter
  • 29 Downloads

Abstract

This chapter presents a short summary of the key findings from this study which explores how two concepts, co-design/co-production and quality improvement can be brought together to improve the design and delivery of healthcare services. In light of the results, we revisit the theoretical framework introduced in Chap.  1 and offer a conceptual model, which provides an integrated approach to co-producing quality improvement using Lean thinking. We consider what implications the study has for healthcare organisations and the key messages for practitioners and academics. The chapter culminates with a number of research propositions to act as a proposal for future research for scholars interested in integrating healthcare/service operations management, quality improvement and co-design/co-production to improve healthcare services.

Keywords

Co-production Co-design Quality improvement Model for Improvement PDSA Lean 

References

  1. Batalden, P. (2018). Getting more health from healthcare: quality improvement must acknowledge patient coproduction. British Medical Journal, 362, k3617.  https://doi.org/10.1136/bmj.k3617.CrossRefGoogle Scholar
  2. Bovaird, T., Flemig, S., Loeffler, E., & Osborne, S. (2019). How far have we come with co-production – And what’s next? Public Money & Management, 39(4), 229–232.CrossRefGoogle Scholar
  3. Clark, D., Jones, F., Harris, R., & Robert, G. (2017). What outcomes are associated with developing and implementing co-produced interventions in acute healthcare settings? A rapid evidence synthesis. BMJ Open, 7, e014650.  https://doi.org/10.1136/bmjopne-2016-014650.CrossRefGoogle Scholar
  4. Dixon-woods, M. (2019). How to improve healthcare improvement—An essay by Mary Dixon-Woods. BMJ, 367.  https://doi.org/10.1136/bmj.l5514. (Published 01 October 2019).
  5. Fuchs, V. (1968). The service economy. New York: National Bureau of Economic Research.Google Scholar
  6. Johnston, R., & Kong, X. (2011). The customer experience: A road-map for improvement. Managing Service Quality, 21(1), 5–24.CrossRefGoogle Scholar
  7. Johnston, R., Clark, G., & Shulver, M. (2012). Service operations management: Improving service delivery (4th ed.). Harlow: Pearson Education Ltd.Google Scholar
  8. Langley, G., Moen, R., Nolan, K., Nolan, T., Norman, C., & Provost, L. (2009). The improvement guide: A practical approach to enhancing organisational performance (2nd ed.). San Francisco: Jossey-Bass.Google Scholar
  9. Locock, L., Robert, G., & Boaz, A. (2014). Using a national archive of patient experience narratives to promote local patient-centered quality improvement: An ethnographic process evaluation of ‘accelerated’ experience-based co-design. Journal of Health Services Research & Policy, 19(4).  https://doi.org/10.1177/1355819614531565.CrossRefGoogle Scholar
  10. Materla, T., Cudney, E., & Antony, J. (2019). The application of Kano model in the healthcare industry: A systematic literature review. Total Quality Management & Business Excellence, 30(5–6), 660–681.CrossRefGoogle Scholar
  11. Miles, S., Renedo, A., & Marston, C. (2018). ‘Slow co-production’ for deeper patient involvement in health care. The Journal of Health Design, 3(1), 57–62.CrossRefGoogle Scholar
  12. Ocloo, J., & Matthews, R. (2016). From tokenism to empowerment: Progressing patient and public involvement in healthcare improvement. BMJ Quality and Safety, 2, 626–632.CrossRefGoogle Scholar
  13. Palmer, V., Weavell, W., Callander, R., Piper, D., Richard, L., Maher, L., Boyd, H., Herrman, H., Furler, J., Gunn, J., Iedema, R., & Robert, G. (2018). The participatory zeitgeist: An explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement. Journal of Medical Humanities. Available at  https://doi.org/10.1136/medhum-2017-011398CrossRefGoogle Scholar
  14. Palumbo, R. (2016). Contextualizing co-production of health care: A systematic literature review. International Journal of Public Sector Management, 29(1), 72–90.CrossRefGoogle Scholar
  15. Radnor, Z., Osborne, S., Kinder, T., & Mutton, J. (2014). Operationalising co-production in public services delivery: The contribution of service blueprinting. Public Management Review, 16, 402–423.CrossRefGoogle Scholar
  16. Sabadosa, K., & Batalden, P. B. (2014). The interdependent roles of patients, families and professionals in cystic fibrosis: A system for the coproduction of healthcare and its improvement. BMJ Quality and Safety, 23, i90–i94.CrossRefGoogle Scholar
  17. Womack, J., & Jones, D. (1996). Lean thinking: Banish waste and create wealth in your corporation. New York: Simon and Schuster.Google Scholar

Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.College of Human & Health SciencesSwansea UniversitySwanseaUK
  2. 2.Consolidated Caley LtdPeterboroughUK

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