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Everyday and unavoidable coproduction

Exploring Patient Participation in the Delivery of Healthcare Services

Dados Bibliográficos

ID2249453
AutoresA Baim-Lance (0000-0001-8602-6022, City University of New York, autor correspondente), Abigail Baim‐Lance (Graduate School of Public Health and Health Policy City University of New York New York NY USA), Daniel Tietz (New York State Department of Health AIDS Institute New York NY USA), Hazel Lever (0000-0002-8795-0628, Icahn School of Medicine New York NY USA), Madeleine Swart (0009-0006-3098-5009, Santa Clara Health and Hospital System San Jose CA USA), Bruce Agins (0000-0002-7098-8478, Graduate School of Public Health and Health Policy City University of New York New York NY USA)
Ano2019
Volume41
Fascículo1
Páginas128-142
Data de publicação2019-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12801
PMID30084113
OpenAlexW2887436014
IdiomaEN
Citações recebidas8
Referências citadas16

The financial and capacity pressures facing healthcare systems call for new strategies to deliver high-quality, efficient services. 'Coproduction' is a concept gaining recognition as an approach to create patient partnerships that enable better functioning healthcare systems. Yet, this framing obscures coproduction's 'everyday and unavoidable' character, already part of healthcare service delivery. This paper aims to understand these everyday and unavoidable dimensions of coproduced healthcare services by drawing upon thematic and process analyses of a 15-month ethnography of 45 patients in three HIV clinics in New York. A 'health practices' approach guided exploring patients' activities, their effects on clinical processes, and the conditions surrounding their performances. By constructing a typology of activity types - Building, Accepting, and Objecting - and tracing patients' descriptions of activity performances, the paper shows how coproduction is forged by making and relying upon clinic-based relationships, and for patients also with a broader human community. These dynamics reveal how patients' bodily and temporal understandings are brought into and shape coproduced services. From these insights, we recommend that healthcare practitioners incorporate into their coproduction analytic methods and perspectives to engage patients as capable and aware individuals, who can support clinic efficiencies while producing new delivery possibilities

Business · Coproduction · Framing (construction · Health care · Healthcare service · Knowledge management · Political science · Public relations · Qualitative research · Sociology · Thematic analysis · Typology · Computer Science · Data Analysis and Archiving · Engineering · Management and Organizational Studies · Mental Health and Patient Involvement · Psychology

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Obras citantes distintas8
Citações por ano1,6
Intervalo de citações2021 - 2026 (6)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 8
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