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Sökning: WFRF:(Thor Andreas) > The role of co-prod...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006999naa a2200505 4500
001oai:DiVA.org:mau-47445
003SwePub
008211210s2021 | |||||||||||000 ||eng|
009oai:DiVA.org:hj-55438
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-474452 URI
0247 a https://doi.org/10.1093/intqhc/mzab0722 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-554382 URI
040 a (SwePub)maud (SwePub)hj
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Gremyr, Andreasu Jönköping University,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Department of Schizophrenia Spectrum Disorders, Sahlgrenska University Hospital, Sahlgrenska Universitetssjukhuset Psykiatri Psykos, Mölndal, Sweden4 aut0 (Swepub:hj)greand
2451 0a The role of co-production in Learning Health Systems
264 c 2021-11-29
264 1b Oxford University Press,c 2021
338 a electronic2 rdacarrier
520 a BACKGROUND: Co-production of health is defined as 'the interdependent work of users and professionals who are creating, designing, producing, delivering, assessing, and evaluating the relationships and actions that contribute to the health of individuals and populations'. It can assume many forms and include multiple stakeholders in pursuit of continuous improvement, as in Learning Health Systems (LHSs). There is increasing interest in how the LHS concept allows integration of different knowledge domains to support and achieve better health. Even if definitions of LHSs include engaging users and their family as active participants in aspects of enabling better health for individuals and populations, LHS descriptions emphasize technological solutions, such as the use of information systems. Fewer LHS texts address how interpersonal interactions contribute to the design and improvement of healthcare services.OBJECTIVE: We examined the literature on LHS to clarify the role and contributions of co-production in LHS conceptualizations and applications.METHOD: First, we undertook a scoping review of LHS conceptualizations. Second, we compared those conceptualizations to the characteristics of LHSs first described by the US Institute of Medicine. Third, we examined the LHS conceptualizations to assess how they bring four types of value co-creation in public services into play: co-production, co-design, co-construction and co-innovation. These were used to describe core ideas, as principles, to guide development.RESULT: Among 17 identified LHS conceptualizations, 3 qualified as most comprehensive regarding fidelity to LHS characteristics and their use in multiple settings: (i) the Cincinnati Collaborative LHS Model, (ii) the Dartmouth Coproduction LHS Model and (iii) the Michigan Learning Cycle Model. These conceptualizations exhibit all four types of value co-creation, provide examples of how LHSs can harness co-production and are used to identify principles that can enhance value co-creation: (i) use a shared aim, (ii) navigate towards improved outcomes, (iii) tailor feedback with and for users, (iv) distribute leadership, (v) facilitate interactions, (vi) co-design services and (vii) support self-organization.CONCLUSIONS: The LHS conceptualizations have common features and harness co-production to generate value for individual patients as well as for health systems. They facilitate learning and improvement by integrating supportive technologies into the sociotechnical systems that make up healthcare. Further research on LHS applications in real-world complex settings is needed to unpack how LHSs are grown through coproduction and other types of value co-creation.
650 7a SAMHÄLLSVETENSKAPx Ekonomi och näringslivx Företagsekonomi0 (SwePub)502022 hsv//swe
650 7a SOCIAL SCIENCESx Economics and Businessx Business Administration0 (SwePub)502022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
653 a Learning Health System
653 a co-production
653 a health quality improvement
653 a health service research
653 a patient-centred care
7001 a Andersson-Gäre, Boelu Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),HHJ. ARN-J (Aging Research Network - Jönköping)4 aut0 (Swepub:hj)andboe
7001 a Thor, Johan,d 1963-u Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Williamson Translational Research Building, Lebanon, NH, USA4 aut0 (Swepub:hj)thjo
7001 a Elwyn, Glynu Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Williamson Translational Research Building, Level 5, 1 Medical Center Drive, Lebanon, NH 03756, USA4 aut
7001 a Batalden, Paul B.u Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Williamson Translational Research Building, Lebanon, NH, USA4 aut0 (Swepub:hj)bapa
7001 a Andersson, Ann-Christineu Jönköping University,Malmö universitet,Institutionen för vårdvetenskap (VV),Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, Jönköping, Jönköpings län 55111, Sweden,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Department of Care Science, Malmö University, Malmö, Sweden4 aut0 (Swepub:hj)andanc
7102 a Jönköping Universityb HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare)4 org
7730 t International Journal for Quality in Health Cared : Oxford University Pressg 33:Supplement 2, s. ii26-ii32q 33:Supplement 2<ii26-ii32x 1353-4505x 1464-3677
8564 u https://doi.org/10.1093/intqhc/mzab072y Fulltext
8564 u https://mau.diva-portal.org/smash/get/diva2:1618870/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://academic.oup.com/intqhc/article-pdf/33/Supplement_2/ii26/41379390/mzab072.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-47445
8564 8u https://doi.org/10.1093/intqhc/mzab072
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-55438

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