Cited by 1,078Service and Product InnovationMental Health and Patient InvolvementPatient Satisfaction in Healthcare

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Coproduction of healthcare service

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Batalden, Maren, Batalden, Paul, Margolis, Peter, Seid, Michael, Armstrong, Gail, Opipari-Arrigan, Lisa, Hartung, Hans·2016·BMJ Quality & Safety

DOI 10.1136/bmjqs-2015-004315PMC PMC4941163

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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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Figure 1 House of Care. Reproduced with permission of The King's Fund. Source: Coulter A, Roberts S, Dixon A (2013). Delivering better services for people with long-term conditions: building the house of care. London: The King's Fund. Available at: http://www.kingsfund.org.uk/publications/delivering-better-services-people-long-term-conditionsCC BY-NC · PubMed Central

Figure 2 Chronic Care Model, developed by The MacColl Institute, © ACP-ASIM Journals and Books, reprinted with permission from ACP-ASIM Journals and Books. First published in: Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998;1:2–4.CC BY-NC · PubMed Central

Figure 3 Conceptual model of healthcare service coproduction.CC BY-NC · PubMed Central

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“As this study shows, co-production can be facilitated or hindered by many forces from the individual level to the community level, such as stigma against disabled people (Batalden et al. 2016).”
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“this study is part of a broader, comprehensive project aimed at providing decision support for policymakers. a qualitative study design was employed to explore participants’ thoughts and experiences, focusing on generating professional perspectives and contextual knowledge [37–39].”
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“We used the coproduction in health care services framework model [46,47] and the Montreal Model [48] to embrace 3 types of coproduction: coproduction within our research team itself, coproduction to improve health care delivery, and coproduction during clinical interactions.”
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“We began to imagine the possible utility of these configurations in coproduced health-care service settings [11, 12].”
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“Future research should investigate the ways in which parents and community providers collaborate to shape the implementation of evidence-based parent coaching interventions in ASD and test whether the extent to which such coproduction occurs impacts parent engagement and family outcomes (Batalden et al., 2016).”
Background
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“The co-production system in health services aims to make improvements and improvisations in the last few decades (Batalden et al., 2016).”
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“Coproduction originated in the 1960s based on the recognition that the industrial economy, where companies used focus groups to ask customers for input on products, was different from the new service economy, where users need to be involved in the creation of high-value products.(3) Through codesigning care with famil…”
Background
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“However, this kind of reform requires a mind shift for healthcare managers, professionals, and users alike [39].”
Background
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Background
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“It involves letting patient and family priorities influence the civil discourse when planning the implementation of healthcare service.(15) Coproduction is present in any encounter between patient and professional intent on developing and creating a service.”
BackgroundInfluentialSelf-citation
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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
ORCID: Batalden, Paul
Margolis, Peter
Seid, Michael
Armstrong, Gail
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
DOI: 10.1136/bmjqs-2015-004315
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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