Coproduction of healthcare service
Coproduction of healthcare service
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DOI：
10.1136/bmjqs-2015-004315
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发表时间：
2016-07-01
影响因子：
5.4
通讯作者：
Hartung, Hans
中科院分区：
文献类型：
--
作者：
Batalden, Maren;Batalden, Paul;Hartung, Hans
确保患者有效参与医疗保健的努力有很多名称-以患者为中心，患者参与，患者体验。这一领域的改进举措往往类似于制造商让消费者参与产品设计和营销的努力。然而，服务与产品有着根本的不同;与商品不同，服务总是“共同生产”的。未能认识到服务的这种独特性及其影响可能会限制我们与患者合作改善医疗保健的成功。我们追溯了合作生产概念的部分历史，提出了一个医疗服务合作生产的模型，并探讨了其作为设计原则在三个医疗服务创新中的应用。我们使用的原则来检查的角色，关系和这个相互依赖的工作的目标。我们探讨的原则的影响和挑战，卫生专业发展，服务提供系统的设计和理解和衡量医疗服务的好处。
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.