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What outcomes are associated with developing and implementing co-produced interventions in acute healthcare settings? : A rapid evidence synthesis
David Clarke (Författare), Fiona Jones (Författare), Ruth Harris (Författare), Glenn Robert (Författare)
URI http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38551, URN urn:nbn:se:hj:diva-38551, DOI 10.1136/bmjopen-2016-014650, Identifikator HHJIMPROVEIS
Hälsohögskolan Högskolan i Jönköping (Utgivare), Hälsohögskolan Högskolan i Jönköping (Utgivare)
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BMJ Publishing Group Ltd, 2017är del av
BMJ Open · ISSN 2044-60557:7
Bidrag, Onlineresurs
ämne
Medical and Health Sciences, Health Sciences, Health Care Service and Management, Health Policy and Services and Health Economy, Medicin och hälsovetenskap, Hälsovetenskap, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, acute healthcare, co-production, rapid evidence synthesis, systematic review, behavior, Cinahl, Cochrane Library, controlled clinical trial, controlled study, cost effectiveness analysis, Embase, feasibility study, female, human, male, Medline, randomized controlled trial, staff, synthesis, total quality management, Web of ScienceSammanfattning
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 organisational 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; The Design Journal; Design Issues. Study selection Studies reporting patient, staff or organisational outcomes associated with using co-production in an acute healthcare setting. Findings 712 titles and abstracts were screened; 24 papers underwent full-text review, and 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.
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Medverkan och funktion
David Clarke (Författare), Fiona Jones (Författare), Ruth Harris (Författare), Glenn Robert (Författare)Medverkan och funktion
Hälsohögskolan Högskolan i Jönköping (Utgivare), Hälsohögskolan Högskolan i Jönköping (Utgivare)Identifikator
URI http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38551, URN urn:nbn:se:hj:diva-38551, DOI 10.1136/bmjopen-2016-014650, Identifikator HHJIMPROVEIShar titel
What outcomes are associated with developing and implementing co-produced interventions in acute healthcare settings? : A rapid evidence synthesisär del av
BMJ Open · ISSN 2044-6055del
7:7utgivning
BMJ Publishing Group Ltd, 2017tillhörande media
http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38551http://dx.doi.org/10.1136/bmjopen-2016-014650http://hj.diva-portal.org/smash/get/diva2:1174497/FULLTEXT01Relaterad beskrivning eller innehåll
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http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38551http://dx.doi.org/10.1136/bmjopen-2016-014650http://hj.diva-portal.org/smash/get/diva2:1174497/FULLTEXT01Villkor för användning och åtkomst
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22281714Resursens ID / Permalänk: https://libris.kb.se/g0s8z17s1vxjvzf#it
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