The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement
| Autor: | Lauralie Richard, John Furler, Wayne Weavell, Helen Herrman, Victoria J Palmer, Rosemary Callander, Jane Gunn, Lynne Maher, Hilary Boyd, Roderick Iedema, Glenn Robert, Donella Piper |
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| Rok vydání: | 2018 |
| Předmět: |
Mental Health Services
mental health care medical humanities Theoretical contribution media_common.quotation_subject Change Management philosophy of medicine/health care Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Stakeholder Participation social science Patient experience Co-design Humans 030212 general & internal medicine Sociology Empowerment Original Research media_common business.industry 030503 health policy & services Australia Change management Models Theoretical Public relations Community Mental Health Quality Improvement MODEL Co-production Philosophy Coproduction MENTAL HEALTH Philosophy of medicine Accountability 0305 other medical science business Delivery of Health Care Autonomy |
| Zdroj: | Palmer, V, Weavell, W, Callander, R, Piper, D, Richard, L, Maher, L, Boyd, H, Herrman, H, Furler, J, Gunn, J, Iedema, R & Robert, G B 2018, ' The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement ', Medical Humanities . https://doi.org/10.1136/medhum-2017-011398 Medical Humanities |
| ISSN: | 1473-4265 1468-215X |
| DOI: | 10.1136/medhum-2017-011398 |
| Popis: | Healthcare systems redesign and service improvement approaches are adopting participatory tools, techniques and mindsets. Participatory methods increasingly used in healthcare improvement coalesce around the concept of coproduction, and related practices of cocreation, codesign and coinnovation. These participatory methods have become the new Zeitgeist—the spirit of our times in quality improvement. The rationale for this new spirit of participation relates to voice and engagement (those with lived experience should be engaged in processes of development, redesign and improvements), empowerment (engagement in codesign and coproduction has positive individual and societal benefits) and advancement (quality of life and other health outcomes and experiences of services for everyone involved should improve as a result). This paper introduces Mental Health Experience Co-design (MH ECO), a peer designed and led adapted form of Experience-based Co-design (EBCD) developed in Australia. MH ECO is said to facilitate empowerment, foster trust, develop autonomy, self-determination and choice for people living with mental illnesses and their carers, including staff at mental health services. Little information exists about the underlying mechanisms of change; the entities, processes and structures that underpin MH ECO and similar EBCD studies. To address this, we identified eight possible mechanisms from an assessment of the activities and outcomes of MH ECO and a review of existing published evaluations. The eight mechanisms, recognition, dialogue, cooperation, accountability, mobilisation, enactment, creativity and attainment, are discussed within an ‘explanatory theoretical model of change’ that details these and ideal relational transitions that might be observed or not with MH ECO or other EBCD studies. We critically appraise the sociocultural and political movement in coproduction and draw on interdisciplinary theories from the humanities—narrative theory, dialogical ethics, cooperative and empowerment theory. The model advances theoretical thinking in coproduction beyond motivations and towards identifying underlying processes and entities that might impact on process and outcome.Trial registration numberThe Australian and New Zealand Clinical Trials Registry, ACTRN12614000457640 (results). |
| Databáze: | OpenAIRE |
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