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Coproduction and health

Public and clinicians’ perceptions of the barriers and facilitators

Bibliographic Data

ID19507801
AuthorsDaniella Holland‐Hart (0000-0002-1127-5152, Division of Population Medicine School of Medicine Cardiff University Cardiff UK, corresponding author), Samia Addis (0000-0001-9050-5317, Cardiff University), Samia M Addis (Division of Population Medicine School of Medicine Cardiff University Cardiff UK), Adrian Edwards (0000-0001-7432-2828, Division of Population Medicine School of Medicine Cardiff University Cardiff UK), Joyce Kenkre (0000-0002-2067-9001, University of South Wales), Joyce E Kenkre (Faculty of Life Sciences and Education University of South Wales Pontypridd UK), F Wood (0000-0001-7397-4074, Division of Population Medicine School of Medicine Cardiff University Cardiff UK)
Year2019
Volume22
Issue1
Pages93-101
Publication date2019-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12834
PMID30289592
OpenAlexW2895150541
LanguageEN
Citations received16
References cited11

BACKGROUND: Coproduction 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. OBJECTIVES: To provide insights into how coproduction is viewed by clinicians and the public and identify perceived barriers and facilitators to its implementation. DESIGN: Using 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. SETTING: This is an all-Wales study, involving six Health Boards, an NHS trust and community and patient groups. RESULTS: Key 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. CONCLUSIONS: There 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

Coproduction · Perception · Political science · Public relations · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Reproductive Health and Technologies · Service and Product Innovation

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Unique citing works16
Citations per year3.2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14

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