A starter’s guide to learning and teaching how to coproduce healthcare services

Author:

Johnson Julie K1ORCID,Batalden Paul23,Foster Tina4,Arvidsson Charlotte56,Batalden Maren7,Forcino Rachel2ORCID,Gäre Boel Andersson36

Affiliation:

1. Surgical Outcomes and Quality Improvement Center (SOQIC), Northwestern University Feinberg School of Medicine, 633 N. Saint Clair St, 20th floor, Chicago, IL 60611, USA

2. Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy & Clinical Practice, 1 Medical Center Dr, Hanover, NH 03766, USA

3. Jönköping Academy for the Improvement of Health and Welfare at Jönköping University, Gjuterigatan 5, Box 1026 Jönköping 551 11, Sweden

4. Obstetrics and Gynecology and Community and Family Medicine, Geisel School of Medicine at Dartmouth, 1 Medical Center Dr, Lebanon, Hanover, NH 03766, USA

5. Bra Liv Hälsan 1 Primary Care Centre, Region Jönköping County, Fabriksgatan 17, Jönköping 551 85, Sweden

6. Futurum—The Academy for Health and Care, Region Jönköping County, Hus B4, Länssjukhuset Ryhov, Jönköping 553 05, Sweden

7. Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Cambridge, MA 02139, USA

Abstract

Abstract Background There has been insufficient attention paid to the role of learning in co-production—both how service users and professional service providers learn to co-produce effectively and how the lessons of co-production are captured at a service level. Objective We aimed to develop and test a curriculum to support healthcare professionals’ interest in learning how to co-produce health and healthcare services with patients. Methods We developed a co-production curriculum that was tested iteratively in multiple in-person and virtual teaching sessions and short courses. We conducted a formative evaluation of the co-production curriculum and teaching tools to tailor the curriculum. Results Several theories underpin our approach to learning and teaching how to co-produce healthcare services. The co-production curriculum is grounded in systems theory and shares elements of educational theories, namely, the postmodern curriculum matrix, the actor network theory and situated learning in communities of practice. Learning participants valued the sense of community, the experiential learning environment, and the practical methods to support their exploration of co-production. Conclusion This paper summarizes the educational theories that underpin our efforts to develop and implement the curriculum, reports on a formative assessment conducted with learners, and makes recommendations for creating an environment for learning how health professionals can co-produce health and healthcare with patients.

Funder

Jönköping Regional Development Authority

Merck Family Foundation

Robert Wood Johnson Foundation

Futurum

Fortis

Institute for Healthcare Improvement

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,General Medicine

Reference16 articles.

1. Complexity and the culture of curriculum;Doll;Complicity: Int J Complexity Educ,2012

2. R2C2 in action: testing an evidence-based model to facilitate feedback and coaching in residency;Sargeant;J Grad Med Educ,2017

3. Situated Learning

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