Coproduction in Practice: Participatory Action Research to Develop a Model of Community Aged Care
Coproduction in Practice: Participatory Action Research to Develop a Model of Community Aged Care
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DOI：
10.1007/s11213-011-9192-x
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发表时间：
2011-10-01
影响因子：
1.2
通讯作者：
Feldman, Peter
中科院分区：
文献类型：
--
作者：
Ottmann, Goetz;Laragy, Carmel;Feldman, Peter
在欧洲联盟国家和澳大利亚，共同制作已成为提供公共服务的创新办法的同义词。合作生产有可能将个人、社区和组织聚集在一起，共同开发新的模式和服务，改善公共服务。然而，澳大利亚的政策制定者和从业人员谁愿意部署合作生产的背景下，老年人的社会护理只能利用少数文件和报告，可以指导实施。本文填补了这一空白，报告实施多利益相关者共同生产的方法，以发展消费者为导向的护理模式，为老年人复杂的健康问题。本文描述和批判性地强调了在一个更大的项目，涉及复杂的护理需求，他们的照顾者，政府和非政府利益相关者的老年人长达12个月的参与性行动研究阶段遇到的方法上的挑战。该文件概述了以下方面的关键考虑因素：（1）有复杂需求的老年人的参与，（2）与行业合作伙伴的合作，（3）政府代表的参与，以及（4）在外包和相互关联的背景下实施参与性研究项目的反思供应链。虽然并非遇到的所有挑战都能得到解决，但共同制作方法成功地将议程相互竞争的广泛利益攸关方聚集在一个迭代过程中，以解决老年人、护理人员和服务提供者提出的大量关切。本文件为其他寻求利用共同生产和参与性方法为老年人提供以人为本的护理服务的人提供了一个范例。
Coproduction has become synonymous with innovative approaches to public service delivery in European Union countries as well as in Australia. Coproduction has the potential to bring together individuals, communities, and organisations in a process to collaboratively develop new models and services which improve public services. Yet, Australian policy makers and practitioners who would like to deploy coproduction within the context of older adult social care can only draw on a handful of papers and reports that could guide implementation. This paper fills this gap by reporting on the implementation of a multi-stakeholder coproduction approach to the development of a consumer directed care model for older people with complex health issues. The paper describes and critically highlights methodological challenges encountered during the 12 month-long participatory action research phase of a larger project involving older people with complex care needs, their carers, and government and non-government stakeholders. The paper outlines key considerations regarding (1) the involvement of older people with complex needs, (2) collaboration with industry partners, (3) engagement of government representatives, and (4) reflects on implementing participatory research projects within a context of outsourcing and interlinked supply chains. While not all challenges encountered could be resolved, the coproduction approach was successful in bringing together a wide range of stakeholders with competing agendas in an iterative process geared to resolve a plethora of concerns raised by older people, carers and services providers. This paper provides an example for others seeking to use coproduction and participatory methods to provide person-centred care services for older people.