| 1. |
- Batalden, Maren, et al.
(författare)
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Coproduction of healthcare service
- 2016
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Ingår i: BMJ Quality and Safety. - : BMJ. - 2044-5415 .- 2044-5423. ; 25:7, s. 509-517
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Tidskriftsartikel (refereegranskat)abstract
- Efforts to ensure effective participation of patients in healthcare are called by many names - patient centredness, patient engagement, patient experience. Improvement initiatives in this domain often resemble the efforts of manufacturers to engage consumers in designing and marketing products. Services, however, are fundamentally different than products; unlike goods, services are always 'coproduced'. Failure to recognise this unique character of a service and its implications may limit our success in partnering with patients to improve health care. We trace a partial history of the coproduction concept, present a model of healthcare service coproduction and explore its application as a design principle in three healthcare service delivery innovations. We use the principle to examine the roles, relationships and aims of this interdependent work. We explore the principle's implications and challenges for health professional development, for service delivery system design and for understanding and measuring benefit in healthcare services.
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| 2. |
- Batalden, Paul B., et al.
(författare)
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Episode 13: Safer together [podcast]
- 2022
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Annan publikation (populärvet., debatt m.m.)abstract
- The realization that safer healthcare is not a “binary” phenomenon, but a result from a complex set of factors working together in various ways and that healthcare is not limited to what occurs in hospitals led Charles and his colleague to work together to write their important book. Maren and her colleagues at Cambridge Health Alliance near Boston took those ideas and built their efforts. She describes how direct involvement of a patient and his spouse offered a much more helpful understanding of a fall that occurred shortly after this patient-person was admitted to the hospital. Together they illustrate how ideas become new ways of conducting the daily work of making safer healthcare. They open consideration of how automation enters the co-productive workspace and illustrate both its opportunities and its challenges.
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| 3. |
- Batalden, Paul B., et al.
(författare)
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Episode 5: Stop talking! Equity begins by listening [podcast]
- 2022
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Annan publikation (populärvet., debatt m.m.)abstract
- Sonja and Diane knew that as an organization they could do better with their services for African-American women during pregnancy. The two nurse leaders, who’d also served as nurse midwives, began a program of active listening to improve their understanding of pregnant womens’ stories, observations, questions, frustrations...and so much more. As Sonja and Diane built “DIVA Moms” they worked to connect what they heard with what they and their colleagues did. Together, they built a different way.Sonja and Diane tell Paul how they co-created DIVA Moms.
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| 4. |
- Englander, Robert, et al.
(författare)
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Coproducing health professions education : A prerequisite to coproducing health care services?
- 2020
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Ingår i: Academic Medicine. - : Wolters Kluwer. - 1040-2446 .- 1938-808X. ; 95:7, s. 1006-1016
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Tidskriftsartikel (refereegranskat)abstract
- In 2016, Batalden et al proposed a coproduction model for health care services. Starting from the argument that health care services should demonstrate service-dominant rather than goods-dominant logic, they argued that health care outcomes are the result of the intricate interaction of the provider and patient in concert with the system, community, and, ultimately, society. The key notion is that the patient is as much an expert in determining outcomes as the provider, but with different expertise. Patients come to the table with expertise in their lived experiences and the context of their lives.The authors posit that education, like health care services, should follow a service-dominant logic. Like the relationship between patients and providers, the relationship between learner and teacher requires the integrated expertise of each nested in the context of their system, community, and society to optimize outcomes. The authors then argue that health professions learners cannot be educated in a traditional, paternalistic model of education and then expected to practice in a manner that prioritizes coproductive partnerships with colleagues, patients, and families. They stress the necessity of adapting the health care services coproduction model to health professions education. Instead of asking whether the coproduction model is possible in the current system, they argue that the current system is not sustainable and not producing the desired kind of clinicians.A current example from a longitudinal integrated clerkship highlights some possibilities with coproduced education. Finally, the authors offer some practical ways to begin changing from the traditional model. They thus provide a conceptual framework and ideas for practical implementation to move the educational model closer to the coproduction health care services model that many strive for and, through that alignment, to set the stage for improved health outcomes for all.
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| 5. |
- Johnson, Julie K., et al.
(författare)
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A starter's guide to learning and teaching how to coproduce healthcare services
- 2021
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Ingår i: International Journal for Quality in Health Care. - : Oxford University Press. - 1353-4505 .- 1464-3677. ; 33:Supplement 2, s. II55-II62
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Tidskriftsartikel (refereegranskat)abstract
- Background: There has been insufficient attention paid to the role of learning in co-production-both how service users and professional service providers learn to co-produce effectively and how the lessons of co-production are captured at a service level.Objective: We aimed to develop and test a curriculum to support healthcare professionals' interest in learning how to co-produce health and healthcare services with patients.Methods: We developed a co-production curriculum that was tested iteratively in multiple in-person and virtual teaching sessions and short courses. We conducted a formative evaluation of the co-production curriculum and teaching tools to tailor the curriculum.Results: Several theories underpin our approach to learning and teaching how to co-produce healthcare services. The co-production curriculum is grounded in systems theory and shares elements of educational theories, namely, the postmodern curriculum matrix, the actor network theory and situated learning in communities of practice. Learning participants valued the sense of community, the experiential learning environment, and the practical methods to support their exploration of co-production.Conclusion: This paper summarizes the educational theories that underpin our efforts to develop and implement the curriculum, reports on a formative assessment conducted with learners, and makes recommendations for creating an environment for learning how health professionals can co-produce health and healthcare with patients.
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| 6. |
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| 7. |
- Batalden, Paul B., et al.
(författare)
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Episode 1: Coproduction is everywhere [podcast]
- 2021
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Annan publikation (populärvet., debatt m.m.)abstract
- Paul invites his guests, Kathryn Sabadosa and David Leach, to share a time when healthcare services worked well.Kathryn describes the experience of her son, born 20+ years ago with Cystic Fibrosis. She describes the recent changes in the routine care for people with CF and the way together they are changing “good” care for him, and some of the ways that COVID-19 has changed her son’s interactions with professionals.David describes his experience deciding to have heart surgery. He focuses on how he sought out the ‘person’ in the professionals he met and worked with.After a three-way conversation, Paul offers this episode’s takeaways, focused on the importance of discovering and noticing coproduction in daily healthcare services.
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| 8. |
- Batalden, Paul B., et al.
(författare)
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Episode 10: My work depends on the setting ... [podcast]
- 2022
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Annan publikation (populärvet., debatt m.m.)abstract
- John tells us how his work environments influence the content of his work. In his experiences with two settings, he illustrates concretely how this happens and what difference it makes to him as a physician-person.
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| 9. |
- Batalden, Paul B., et al.
(författare)
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Episode 11: From principles to practices [podcast]
- 2022
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Annan publikation (populärvet., debatt m.m.)abstract
- After describing a situation where learning and the “learner” seem “blocked”, Bill explores the creative ways teachers address situations like this. Together, Bill and Paul discuss the multiple issues that arise when learning new/different knowledge, skills and dispositions (habits) and using them in daily work. Their conversation explores traps that commonly occur and an overview of ways to start.
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| 10. |
- Batalden, Paul B., et al.
(författare)
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Episode 12: Coproduction and macrosystems of healthcare [podcast]
- 2022
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Annan publikation (populärvet., debatt m.m.)abstract
- April and Doug bring their long familiarity to describe the transformative change when the indigenous community became the “customer-owners,” as they now call the members of the Native American community. They explore the way commonly occurring meetings happen and some of the implications for their work as executive-persons in the setting. April describes what it’s like getting a professional-person’s help for a problem. Doug describes some of the data that is used to measure the changes that have occurred since the change.
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