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Coproduction of healthcare service
Open accessAbstract
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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“When developing interventions, involving diverse stakeholders (e.g., patients, healthcare staff and their managers, researchers, and policy makers) has been recommended to enhance accuracy, fit, and sense of ownership within the specific setting [15, 16].”
From Developing a primary care-based cognitive behavioral intervention for anxiety in children through a participatory approach: a qualitative study. (2026) · cites this paper as [15]
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“Co-production has been used in a variety of healthcare settings to improve services, increase choice, respond to user needs and reduce waste (Batalden et al., 2016).”
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Soto, C., & Strain, W. D. (2018) · Journal of Diabetes · doi:10.1111/1753-0407.12814 · Cited by 9
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BackgroundPatient-Clinician Collaboration in the Development of an IBD Transfer Toolkit
Kennedy, S. T., Maddux, M. H., & SYSTEM, I. P. I. L. H. (2019) · PEDIATRICS · doi:10.1542/peds.2019-0558 · Cited by 9
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“Batalden et al. (2015) view coproduction in health care as the act of patients and professional groups engaging in civil discourse as they co-plan and execute coproduced high-value health care that improves outcomes.”
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Yeung, H., Li, Y., & Swerlick, R. A. (2023) · Dermatology and Therapy · doi:10.1007/s13555-023-01046-3 · Cited by 8
Promoting equity in inflammatory bowel disease: a global approach to care
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Technology for fast-tracking high-risk head and neck cancer referrals: Co-designing with patients
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The four spheres of value co-creation in humanitarian professional services
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Self-citationGeneral practitioners working in or alongside the emergency department: the GPED mixed-methods study
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State and NGO coproduction of health care in the Gran Chaco
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MethodAn Institutional Approach to Equity and Improvement in Child Health Outcomes
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Ambulatory Education: Time to Move From Process to Outcome
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How Can We Improve patient-centered Care of Motor Neuron disease?
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COVID-19 Disruption and Service Firms’ Adaptation Strategies: Institutional Theory Perspectives
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“Research shows that many of these positive outcomes cannot be achieved by formal care providers alone (27).”
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“21 22 The Template for Intervention Description and Replication checklist and guide has been used to report and promote the replicability of the ARC HNA intervention.”
Highlights from the 2015 North American Cystic Fibrosis Conference
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Aligning quality improvement with better child health for the 21st century
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Irresponsible and responsible resource management in obstetrics
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Assessing Health System Performance
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Metadata
- Authors
- Batalden, M., Batalden, P., Margolis, P., Seid, M., Armstrong, G., Opipari-Arrigan, L., & Hartung, H.
- Affiliations
- Cambridge Health Alliance (US)
- Dartmouth Institute for Health Policy and Clinical Practice (US)
- Cincinnati Children's Hospital Medical Center (US)
- College of Nursing, University of Colorado, Aurora, Colorado, USA
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
- University Hospital Crosshouse (GB)
- Corresponding author
- Batalden, Maren
- Venue
- BMJ Quality & Safety
- Publisher
- BMJ
- Published
- 2015-09-16
- Volume
- 25
- Issue
- 7
- Pages
- 509-517
- ISSN
- 1475-3898 (ISSN-L)
- 2044-5415
- 2044-5423
- PMC
- PMC4941163
- OpenAlex
- W2277370197
- Cited by
- 1,078
- References
- 65
- Citations by year
- 2026: 68 · 2025: 84 · 2024: 149 · 2023: 92 · 2022: 130 · 2021: 139 · 2020: 120 · 2019: 91 · 2018: 94 · 2017: 72 · 2016: 38
- FWCI
- 168.93
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Quality & Safety (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Diva portal (Dalarna University Library) (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK085719)
- Topics
- Social Sciences › Business, Management and Accounting › Marketing › Service and Product Innovation
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- patient engagement, patient-centered care, service design, service delivery innovation
- MeSH terms
- Delivery of Health Care, Humans, Patient Participation, Quality Assurance, Health Care, Models, Organizational, Quality Improvement
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