Exploring the potential of co-production in health care. Review of European practices and outcomes (original) (raw)

Co-Production and Health System Reform - From Re-Imagining To Re-Making

Australian Journal of Public Administration, 2009

There is growing interest in the application of citizen participation within all areas of public sector service development, where it is increasingly promoted as a significant strand of postneoliberal policy concerned with re-imagining citizenship and more participatory forms of citizen/consumer engagement. The application of such a perspective within health services, via co-production, has both beneficial, but also problematic implications for the organisation of such services, for professional practice and education. Given the disappointing results in increasing consumer involvement in health services via 'choice' and 'voice' participation strategies, the question of how the more challenging approach of co-production will fare needs to be addressed. The article discusses the possibilities and challenges of system-wide co-production for health. It identifies the discourse and practice contours of co-production, differentiating co-production from other health consumer-led approaches. Finally, it identifies issues critically related to the successful implementation of co-production where additional theorisation and research are required.

Co-production: The State of the Art in Research and the Future Agenda

2012

In this introductory article to the thematic issue, our aim is to discuss the state of the art in research on co-production of public services. We define co-production, for the purpose of this article rather narrowly, as the involvement of individual citizens and groups in public service delivery. We discuss the concept along three main research lines that emerge from the literature: what are the motives for co-production? How can co-production be organized effectively? What are the effects of co-production? Secondly, we also critically assess the state of the art and discuss some conceptual and methodological issues that are still open to debate. Thirdly, we propose some directions for future research: greater methodological diversity and the need for empirical and comparative research with a specific attention for theoretical advancement in co-production research.

Understanding co-production as a new public governance tool

Policy and Society

Co-production has become a buzzword for both scholars and practitioners in the past decade. This introduction to the thematic issue ‘Co-production: Implementation problems, new technologies and new designs’ unpacks the concept of co-production and illustrates how it has been operationalized on the ground in diverse country-specific contexts. To facilitate the analysis, we make a distinction between ‘traditional’ and ‘non-traditional’ forms of co-production, even though the practice has not really been around long enough to have established a tradition in the true sense of the word. However, these two distinct forms of co-production are highly useful conceptual lenses through which to view the finer details and nuances, to identify the enabling conditions and to foreshadow the governance challenges, but also to highlight the innovating role co-production plays in forging public services and public policies. Thanks to the rich and varied ways in which the contributors have approached ...

Co-production as a tool for realisation of public services

Zarządzanie Publiczne, 2018

Objective: New public governance is one of the most popular paradigms in public administration management. The aim of this article is to examine the co-production of public services, which is gaining interest in many European countries, including Poland, and to find out how co-production is defined, what the reasons to pay attention to this tool are, how we can distinguish between different models of co-production and, last but not least, what the possibilities and drawbacks of introducing it into practice are. Research Design & Methods: The article is a literature review based on the most important public management journals. Findings: In conclusion, the author shows new ways of defining co-production and presents a proposal for further research strategies for the co-production of public services. Implications / Recommendations: The meaning of co-production of public services has varied over the last few years due to the fact that various new elements have emerged. Therefore there is still a huge field, to cover such as conducting research about the use of social media in the co-production of public services. Contribution / Value Added: The most recent literature review about co-production was conducted by Vooberg in 2014. As a result, this article refreshes the knowledge about it and proposes a new research agenda for the future.

CO-PRODUCTION – FROM SIMPLE OBSERVATION TO POLITICAL VISION

2015

Co-production is very common phenomenon in our everyday lives. We are inclined to assist in the production of services that are delivered to us. The work of Elinor Ostrom shows that it is reasonable to consider co-production as an important element in the production of public services. This paper aims to show what co-production is, the kind of implications co-production has for the performance of public administration, and how co-production can influence the political system as a whole. Co-production, on the one hand, could lead to minor changes in the way the welfare state functions; and, on the other hand, co-production could serve as the basis for a new, complex, polycentric political system. Journal: Polityka Społeczna, No 1 ENG

Co-Production as a Political Form

World Political Science Review, 7: 1, 2011.

The concept of co-production is gaining ground rapidly in the political and administrative sciences. Generally speaking, it is about involving citizens and users in the production of the same services they consume. Although the reforms and initiatives related to co-production have been considered as having many democratizing features, they also have the tendency to narrow and reduce the area of political discussion. This is mainly because individualized and personalized forms of governance seem to make it difficult to discern the structural issues underlying these forms. The article investigates how co-productional practices both open up and close down the opportunities for political deliberation and debate. In other words, how it both politicizes and depoliticizes political and administrative questions.