Co-production is an approach increasingly recognised 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 co-production within the context of the Prudent Healthcare initiative.
The objective of this research was to provide insights into how co-production is viewed by clinicians and the public and identify perceived barriers and facilitators to its implementation.
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.
This is an all‐Wales study, involving six Health Boards, an NHS trust and community and patient groups.
Key barriers relating to Capability include lack of awareness of the term co-production and inadequate communication between clinicians and citizens. Opportunity‐centred barriers include service and time constraints. Conversely, facilitators included utilising partnerships with community organisations. Motivation‐related barriers included preconceptions about patients’ limitations to co-produce.
They conclude that there were broadly positive perceptions among participants regarding co-production, despite initial unfamiliarity with the term. Despite study limitations including under-representation of employed public participants and junior doctors, our analysis may assist researchers and policymakers who are designing, implementing and evaluating interventions to promote co-production.
Read more here: https://onlinelibrary.wiley.com/doi/10.1111/hex.12834