Dreaming the impossible dream? An exploratory study on the expectations of Dutch clients with multiple problems concerning the co‐production of public services
Datos Bibliográficos
| ID | 12287448 |
|---|---|
| Autores | Lieke Reinhoudt‐den Boer (0000-0001-7333-5766, Erasmus School of Health Policy and Management Rotterdam the Netherlands, autor de correspondencia), Robbert Huijsman (0000-0002-9776-129X, Erasmus School of Health Policy and Management Rotterdam the Netherlands), Jeroen Van Wijngaarden (0000-0001-8432-6611, Erasmus School of Health Policy and Management Rotterdam the Netherlands) |
| Año | 2021 |
| Volumen | 29 |
| Número | 6 |
| Fecha de publicación | 2021-03-24 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Health & Social Care in the Community (JOURNAL) |
| Identificadores de la revista | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Editorial | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.13346 |
| OpenAlex | W3137297604 |
| Idioma | EN |
| Citas recibidas | 5 |
| Referencias citadas | 39 |
Currently, many policymakers try to encourage client involvement during the public service delivery process and make it a co-production. Clients are encouraged to act as active agents and embrace an integrated approach to address their problems to empower them. However, different studies have raised questions regarding to what extent these ambitions are appropriate for clients with vulnerabilities, such as clients with multiple problems. Aiming to further explore this issue, we studied the expectations of clients with multiple problems concerning the co-production of public services. We interviewed 46 clients with multiple problems at the start of their support trajectory. All 46 participants lived in five districts in Rotterdam, the Netherlands, and were recruited via community-based primary care teams. Our study indicates that co-production ambitions might not resonate with clients with multiple problems. The study shows that these clients’ expectations are driven by their feelings of being overwhelmed and stressed out by their situation, feelings of being a victim of circumstances, bad experiences with public services in the past, their evaluation of what counts as a problem and the envisioned solutions. These clients expect public service providers to take over, fix their main problem(s) and not interfere with other aspects of their lives (not an integrated approach). Although participants seek a ‘normal’ life with, e.g., a house, work, partner, children, holidays, a pet, and no stress (a white picket fence life) as ideal, they do not feel that this is attainable for them. More insight into the rationale behind these expectations could help to bridge the gap between policymakers’ ambitions and clients’ expectations
Business · Economics · Feeling · Political science · Process (computing · Production (economics · Public relations · Service (business · Service provider · Sociology · Work (physics · Computer Science · Healthcare innovation and challenges · Mental Health and Patient Involvement · Psychology · Public Policy and Administration Research · Social Psychology · Marketing
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| Obras citantes distintas | 5 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2021 - 2026 (6) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 5 |