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Contextualizing co-production of health care: a systematic literature review

机译:结合卫生保健的联合生产:系统的文献综述

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Purpose - The purpose of this paper is to contextualize the concepts of "service co-production" and "value co-creation" to health care services, challenging the traditional bio-medical model which focusses on illness treatment and neglects the role played by patients in the provision of care. Design/methodology/approach - For this purpose, the author conducted a systematic review, which paved the way for the identification of the concept of "health care co-production" and allowed to discuss its effects and implications. Starting from a database of 254 records, 65 papers have been included in systematic review and informed the development of this paper. Findings - Co-production of health care services implies the establishment of co-creating partnerships between health care professionals and patients, which are aimed at mobilizing the dormant resources of the latter. However, several barriers prevent the full implementation of health care co-production, nurturing the application of the traditional bio-medical model. Practical implications - Co-production of health care is difficult to realize, due to both health care professionals' hostility and patients unwillingness to be involved in the provision of care. Nonetheless, the scientific literature is consistent in claiming that co-production of care paves the way for increased health outcomes, enhanced patient satisfaction, better service innovation, and cost savings. The establishment of multi-disciplinary health care teams, the improvement of patient-provider communication, and the enhancement of the use of ICTs for the purpose of value co-creation are crucial ingredients in the recipe for increased patient engagement. Originality/value - To the knowledge of the author, this is the first paper aimed at systematizing the scientific literature in the field of health care co-production. The originality of this paper stems from its twofold relevance: on the one hand, it emphasizes the pros and the cons of health care co-production and, on the other hand, it provides with insightful directions to deal with the engagement of patients in value co-creation.
机译:目的-本文的目的是将“服务共同生产”和“价值共同创造”的概念与医疗服务相结合,挑战传统的生物医学模型,该模型侧重于疾病治疗并忽略了患者的作用在提供护理方面。设计/方法/方法-为此,作者进行了系统的审查,为“医疗保健联合生产”概念的识别铺平了道路,并允许讨论其影响和含义。从254条记录的数据库开始,已将65篇论文纳入系统评价,并为本文的发展提供了信息。调查结果-共同提供卫生保健服务意味着在卫生保健专业人员和患者之间建立共同建立的伙伴关系,目的是调动后者的休眠资源。但是,一些障碍阻碍了医疗联产的全面实施,从而阻碍了传统生物医学模型的应用。实际意义-由于医疗保健专业人员的敌意以及患者不愿参与提供医疗保健,因此难以实现医疗保健的联合生产。尽管如此,科学文献一致认为共同生产护理为增加健康结果,提高患者满意度,更好的服务创新和节省成本铺平了道路。建立多学科医疗保健团队,改善患者与提供者之间的沟通以及为实现价值共创而增加使用ICT都是增加患者参与度的关键要素。原创性/价值-就作者所知,这是第一篇旨在将医疗保健联产领域的科学文献系统化的论文。本文的独创性源于其双重相关性:一方面,它强调了医疗保健联合生产的利弊;另一方面,它为处理患者参与价值活动提供了深刻的指导。共创。

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