Abstract
BackgroundCoproduction is an approach increasingly recognized across public services internationally. However, awareness of the term and the barriers and facilitators to its implementation in the NHS are not widely understood. This study examines clinician and public perceptions of coproduction within the context of the Prudent Healthcare initiative.ObjectivesTo provide insights into how coproduction is viewed by clinicians and the public and identify perceived barriers and facilitators to its implementation.DesignUsing qualitative research methods, interviews were conducted with the public (n = 40) and clinicians (n = 40). Five focus groups were also conducted with the public (n = 45) and six focus groups with clinicians (n = 26). The COM‐B model was used to analyse the data; key domains include Capability, Opportunity and Motivation.SettingThis is an all‐Wales study, involving six Health Boards, an NHS trust and community and patient groups.ResultsKey barriers relating to Capability include lack of awareness of the term coproduction and inadequate communication between clinicians and citizens. Opportunity‐centred barriers include service and time constraints. Conversely, facilitators included utilizing partnerships with community organizations. Motivation‐related barriers included preconceptions about patients’ limitations to coproduce.ConclusionsThere were broadly positive perceptions among participants regarding coproduction, despite initial unfamiliarity with the term. Despite study limitations including underrepresentation of employed public participants and junior doctors, our analysis may assist researchers and policymakers who are designing, implementing and evaluating interventions to promote coproduction.
Highlights
Coproduction is an approach which emphasizes collaboration between service providers and citizens The term was originally popularized by Ostrom[1] and further developed by Cahn.[2]
Coproduction has increasingly featured as a core approach in public sector initiatives including examples cited by Co-Create in Canada;[13] the Organisation for Economic Cooperation and Development (OCED);[14] and the National Endowment for Science Technology and Arts (NESTA)[15] in the United Kingdom
Results are presented in line with the COM-B model’s Capability, Opportunity and Motivation and include the barriers and facilitators of coproduction that participants identified within the context of Prudent Healthcare (Table 3)
Summary
Coproduction is an approach which emphasizes collaboration between service providers and citizens The term was originally popularized by Ostrom[1] and further developed by Cahn.[2]. A more active and patient-centred relationship between citizens and health-care services has been increasingly championed by researchers and policymakers worldwide.[10,11,12] Coproduction has increasingly featured as a core approach in public sector initiatives including examples cited by Co-Create in Canada;[13] the Organisation for Economic Cooperation and Development (OCED);[14] and the National Endowment for Science Technology and Arts (NESTA)[15] in the United Kingdom. This includes consideration of broader social, economic and cultural issues to avoid unnecessary medical and therapeutic interventions to resolve health care needs
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