Clarke, D orcid.org/0000-0001-6279-1192, Jones, F, Harris, R et al. (1 more author) (2017) What outcomes are associated with developing and implementing co-produced interventions in acute healthcare settings? A rapid evidence synthesis. BMJ Open, 7 (7). e014650. ISSN 2044-6055
Abstract
Background: Co-production is defined as the voluntary or involuntary involvement of users in the design, management, delivery and/or evaluation of services. Interest in co-production as an intervention for improving healthcare quality is increasing. In the acute healthcare context co-production is promoted as harnessing the knowledge of patients, carers and staff to make changes about which they care most. However, little is known regarding the impact of co-production on patient, staff or organizational outcomes in these settings. Aims: to identify and appraise reported outcomes of co-production as an intervention to improve quality of services in acute healthcare settings. Design: rapid evidence synthesis. Data Sources: Medline, Cinahl, Web of Science, Embase, HMIC, Cochrane Database of Systematic Reviews, SCIE, Proquest Dissertation and Theses, EThOS, OpenGrey; CoDesign; Design Journal; Design Issues. Study selection: studies reporting patient, staff or organisational outcomes associated with using co- co-production in an acute healthcare setting Findings: 712 titles and abstracts were screened, 24 papers underwent full text review; 11 papers were included in the evidence synthesis. One study was a feasibility randomised controlled trial, three were process evaluations and seven used descriptive qualitative approaches. Reported outcomes related to: (a) the value of patient and staff involvement in co-production processes; (b) the generation of ideas for changes to processes, practices and clinical environments; and (c) tangible service changes and impacts on patient experiences. Only one study included cost analysis; none reported an economic evaluation. No studies assessed the sustainability of any changes made. Conclusions: despite increasing interest in and advocacy for co-production there is a lack of rigorous evaluation in acute healthcare settings. Future studies should evaluate clinical and service outcomes as well as the cost-effectiveness of co-production relative to other forms of quality improvement. Potentially broader impacts on the values and behaviours of participants should also be considered.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
Keywords: | Rapid evidence synthesis; systematic review; co-production; acute healthcare |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Elderly Care and Rehabilitation (Leeds) |
Funding Information: | Funder Grant number National Inst for Health Research (NIHR) 13/114/95 |
Depositing User: | Symplectic Publications |
Date Deposited: | 28 Apr 2017 10:20 |
Last Modified: | 23 Jun 2023 22:28 |
Status: | Published |
Publisher: | BMJ Publishing Group |
Identification Number: | 10.1136/bmjopen-2016-014650 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:115653 |