2017 | 38(3) | 77-88
Article title

Paradigm shift towards co-production in the European healthcare?A literature review

Title variants
Languages of publication
Public service delivery has never been the area of a state monopoly, but the process of the “destatization” of public service delivery accelerated with the wave of new public management (NPM). The competition between private suppliers of public services was expected to reduce public expenditures and improve the quality of services. However, current scepticism towards NPM triggered the revival of the idea of co-production, i.e. direct participation of citizens in public service delivery. This paper reviews the practices of co-production in European health care systems. It is based on an extensive definition of co-production, not only including co-delivery, but also co-planning, co-financing and co- -evaluation. The existing evidence regarding the effects of co-production is also reviewed.
  • Public Administration Research Unit Faculty of Law and Administration University of Warsaw
  • Alakeson, V., Bunnin, A., Miller, C. (2013). Coproduction of health and wellbeing outcomes: the new paradigm for effective health and social care. London: OPM.
  • Alston, C. et al. (2014). Shared Decision-Making Strategies for Best Care: Patient Decision Aids. Institute of Medicine of the National Academies: Discussion Paper.
  • Anderson, R.M., Funnell, M.M. (2010). Patient Empowerment: Myths and Misconceptions. Patient Education and Counseling, no. 79(3), p. 277-282.
  • Bahrer-Kohler, S., Krebs-Roubicek, E., Ephraim-Oluwanuga, O. (2009). Self-management programs. In: S. Bahrer-Kohler (ed.), Self-Management of Chronić Disease: Alzheimer’s Disease. Heidelberg: Springer Medizin Verlag, p. 79-98.
  • Bartenberger, M., Sześciło, D. (2016). The Benefits and Risks of Experimental Co-pro- duction: The Case of Urban Redesign in Vienna. Public Administration, no. 94(2), p. 509-525.
  • Barzelay, M., Armajani, B. (1992). Breaking Through Bureaucracy: A New Vision for Mana- ging in Government. Berkeley: University of California Press.
  • Batalden, M. et al. (2015). Coproduction of healthcare service. BMJ Quality and Safety. Online: doi:10.1136/bmjqs-2015-004315 [access: 31.08.2016].
  • Bieber, C. et al. (2009). Training physicians in shared decision-making — Who can be reached and what is achieved? Patient Education and Counselling, no. 77, p. 48-54.
  • Bujan, P.A. et al. (2015). Expert Patient Programme Catalonia: a person-centered com- munity perspective. International Journal of Integrated Care. Annual Conference Sup- plement.
  • Carrier, J. (2009). Managing Long-term Conditions and Chronic Illness in Primary Care: A Guide to Good Practice. Abingdon: Routledge.
  • Christensen, T., L^greid, P. (2002). New public management: Puzzles of democracy and the influence of citizens. Journal of Political Philosophy, no. 10(3), p. 267-295.
  • Cordier, J.-F. (2014). The expert patient: towards a novel definition. European Respiratory Journal, no. 44, p. 853-857.
  • DeLeon, L. (2005). Public Management, Democracy, and Politics. In: E. Ferlie, L.E. Lynn, C. Pollitt (eds.), The Oxford Handbook of Public Management. Oxford: Oxford Uni- versity Press, p. 103-130.
  • Duffy, S. (2012). Peer Power. An Evaluation of the Personalisation Forum Group — a User- -Led Organisation (ULO) for People in Doncaster. London: The Center for Welfare Reform.
  • Elwyn, G. et al. (2010). Implementing shared decision making in the NHS. BMJ, no. 341 (November).
  • Elwyn, G., Tilburt, J., Montori, V.M. (2013). The ethical imperative for shared decision- -making. European Journal for Person Centered Healthcare, no. 1(1), p. 129-131.
  • Galdas, P. et al. (2014). The accessibility and acceptability of self-management support interventions for men with long term conditions: a systematic review and meta-syn- thesis of qualitative studies. BMC Public Health, no. 14(1230), p. 1-20.
  • Greenhalgh, T. (2009). Chronic illness: beyond the expert patient. BMJ, no. 338 (March), p. 629-631.
  • Greenhalgh, T., Howick, J., Maskrey N. (2014). Evidence based medicine: a movement in crisis? BMJ, no. 348, p. 1-7.
  • Innovation Unit (2014). Inspiring Healthcare: Croydon Service Users Network. Online: network [access: 31.08.2016].
  • Greitens, T.J., Strachan, J.C. (2014). Citizen deliberation in prospective public manage- ment: recognizing its value, overcoming its challenges. In: C. Conteh, T.J. Greitens,D.J. Jesuit, I. Roberge (eds.), Governance and Public Management: Strategic Foundations for Volatile Times. Abingdon: Routledge, p. 117-130.
  • Haslbeck, J. (2015). Introducing the chronic disease self- management program in Switzer- land and other German-speaking countries: findings of a cross-border adaptation using a multiple-methods approach. BMC Health Services Research, no. 15(576), p. 1-19.
  • Heinrich, E. et al. (2012). Evaluation of the web-based Diabetes Interactive Education Programme (DIEP) for patients with type 2 diabetes. Patient Education and Counsel- ling, no. 86, p. 172-178.
  • Joseph-Williams, N., Edwards, A., Elwyn, G. (2014). Power imbalance prevents shared decision making. BMJ, no. 348, p. 1-3.
  • Loh, A., Simon, D., Kriston, L., Harter, M. (2007). Shared Decision-Making in Medicine. Deutsches Arzteblatt International, no. 104(21), p. 1483-1488.
  • Marschall, M.J. (2004). Citizen participation and the neighborhood context: A new look at the coproduction of local public goods. Political Research Quarterly, no. 57(2), p. 231-244.
  • Martinez, J.M., Richardson, W.D. (2008). Administrative Ethics in the Twenty-first Century. Nowy Jork: Peter Lang Publishing.
  • Nesta (2012). People Powered. Health Co-Production Catalogue. London: Nesta Operating Company.
  • NHS (2012). Measuring Shared Decision Making. A review of research evidence. London: Capita Group Plc.
  • NHS (2013). Your Health — Your Decision. Evaluation & Output Report of the AQuA Workstream within the National Shared Decision Making Programme. Salford: Advan- cing Quality Alliance.
  • Office for Public Management (2013). The MAGIC programme: evaluation. An independent evaluation of the MAGIC (Making good decisions in collaboration) improvement programme. London: The Health Foundation.
  • Ortega, M.G. (2010). The Expert Patient Programme in Catalonia. Health Policy Monitor, no. 16.
  • Oshima, Lee E., Emanuel, E.J. (2013). Shared Decision Making to Improve Care and Reduce Costs. NEJM, no. 368(1), p. 6-7. DOI: 10.1056/NEJMp1209500
  • Ottmann, G., Laragy, C., Allen, J., Feldman, P. (2011). Coproduction in practice: partici- patory action research to develop a model of community aged care. Systemic practice and action research, no. 24(5), p. 413-427.
  • Parks, R.B., Baker, P.C., Kiser, L., Oakerson, R., Ostrom, E., Ostrom, V., Percy, S., Vandivort, M., Whitaker, G., Wilson, R. (1981). Consumers as coproducers of public services: Some economic and institutional considerations. Policy Studies Journal, no. 9(7), p. 1001-1011.
  • Rogers, A. et al. (2008). The United Kingdom Expert Patients Programme: results and implications from a national evaluation. Medical Journal of Australia, no. 189(10), S21-S24.
  • Shafir, A., Rosenthal, J. (2012). Shared Decision Making: Advancing Patient Centered Care Through State and Federal Implementation. Portland-Washington: National Academy for State Health Policy.
  • Stacey, D. et al. (2014). Decision aids for people facing health treatment or screening decisions (Review). Cochrane Database of Systematic Reviews, no. 1.
  • Tattersall, R. (2002). The expert patient: a new approach to chronic disease management for the twenty-first century. Clinical Medicine, no. 2(3), p. 227-229.
  • The Health Foundation (2012). Co-Creating Health. Evaluation of first phase. London: The Health Foundation.
  • Turner, A., Anderson, J.K., Wallace, L.M., Bourne, C. (2015). An evaluation of a self- -management program for patients with long-term conditions. Patient Education and Counselling, no. 98, p. 213-219.
  • Vigoda-Gadot, E. (2009). Building Strong Nations: Improving Governability and Public Management. Abingdon: Routledge.
  • Whitaker, G.P. (1980). Coproduction: Citizen participation in service delivery. Public Administration Review, no. 40 (May/June), p. 240-246.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.