Abstract:
Recent years have seen a dramatic growth in interest in the nature and extent of co-production in the health and social care sectors. Due to the proliferation of work on co-production, there is variation in practice in how co-production is defined, understood, and used in practice. We conducted a narrative review to explore, and provide an overview of, which models of health and social care co-production have been developed, applied, and critiqued over recent decades. Seventy-three peer-reviewed articles met our inclusion criteria. In this set of articles, we identified three broad types of models: conceptual/theoretical, practice-oriented, and presenting a typology. We found that practice-oriented models, predominantly from the Health Services Research and Quality Improvement literature, had largely not drawn on conceptual/theoretical models from the disciplinary fields of Public Administration & Management and Sociology. In particular, they have largely neglected theoretical perspectives on relationships and power and agency in co-production work. The concepts of Service-Dominant Logic and Public Service-Dominant Logic as ways to think about the joint, collaborative process of producing new value, particularly in the context of the use of a service, have also been neglected. Our review has identified distinct literatures which have contributed a variety of models of health and social care co-production. Our findings highlight under-explored dimensions of co-production that merit greater attention in the health and social care contexts. The overview of models of co-production we provide aims to offer a useful platform for the integration of different perspectives on co-production in future research and practice in health and social care.
摘要:
背景:近年来,人们对卫生和社会护理部门共同生产的性质和程度的兴趣急剧增长。由于联合制作工作的激增,在实践中,共同生产的定义存在很大差异,在实践中理解和使用。
方法:我们进行了叙述性回顾,并提供概述,已经开发了哪些健康和社会护理联合生产模式,在过去的几十年里得到了应用和批评。
结果:73篇同行评审文章符合我们的纳入标准。在这组文章中,我们确定了三种广泛类型的模型:概念/理论;面向实践;并提出了类型学。我们发现以实践为导向的模型,主要来自卫生服务研究和质量改进文献,基本上没有借鉴公共行政与管理和社会学学科领域的概念/理论模型。特别是,他们在很大程度上忽视了关于合作生产工作中的关系、权力和代理的理论观点,以及服务主导逻辑和公共服务主导逻辑的概念,产生新价值的协作过程,特别是在使用服务的情况下。
结论:我们的综述已经确定了不同的文献,这些文献贡献了各种健康和社会护理联合生产的模式。我们的发现强调了在健康和社会护理环境中值得更多关注的联合生产的未充分探索的维度。我们提供的联合生产模型概述旨在为在未来的健康和社会护理研究和实践中整合联合生产的不同观点提供一个有用的平台。