Coproduction and health: Public and clinicians' perceptions of the barriers and facilitators.
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 wi...
| Publicado en: | Health Expectations Vol. 22; no. 1; pp. 93 - 102 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134360279&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134360279 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Feb2019 vid: 22 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 134360279 134360279 134360279 10.1111/hex.12834 134360279 ppf: 93 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Coproduction and health: Public and clinicians' perceptions of the barriers and facilitators. aug: au: Holland‐Hart, Daniella M. Addis, Samia M. Edwards, Adrian Kenkre, Joyce E. Wood, Fiona affil: Division of Population Medicine, School of Medicine, Cardiff University, Cardiff UK sug: subj: Public Opinion Physician Attitudes Health Services Accessibility Health Care Delivery Collaboration Human Interviews Qualitative Studies Methods Focus Groups Motivation Models, Theoretical Wales National Health Programs Communities Communication Time Factors Semi-Structured Interview Purposive Sample Male Female Snowball Sample Audiorecording Adolescence Adult Middle Age Aged Health Literacy Empowerment Self-Efficacy Decision Making Support, Psychosocial Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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