Abstract
Coproduction has become synonymous with innovative approaches to public service delivery in European Union countries as well as in Australia. Coproduction has the potential to bring together individuals, communities, and organisations in a process to collaboratively develop new models and services which improve public services. Yet, Australian policy makers and practitioners who would like to deploy coproduction within the context of older adult social care can only draw on a handful of papers and reports that could guide implementation. This paper fills this gap by reporting on the implementation of a multi-stakeholder coproduction approach to the development of a consumer directed care model for older people with complex health issues. The paper describes and critically highlights methodological challenges encountered during the 12 month-long participatory action research phase of a larger project involving older people with complex care needs, their carers, and government and non-government stakeholders. The paper outlines key considerations regarding (1) the involvement of older people with complex needs, (2) collaboration with industry partners, (3) engagement of government representatives, and (4) reflects on implementing participatory research projects within a context of outsourcing and interlinked supply chains. While not all challenges encountered could be resolved, the coproduction approach was successful in bringing together a wide range of stakeholders with competing agendas in an iterative process geared to resolve a plethora of concerns raised by older people, carers and services providers. This paper provides an example for others seeking to use coproduction and participatory methods to provide person-centred care services for older people.
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References
Abelson J, Forest P-G et al (2002) Obtaining public input for health-systems decision-making: past experiences and future prospects. Can Public Adm 45(1):70–97
Alford J (1993) Toward a new public management model: beyond ‘managerialism’ and its critics. J Dev Adm 35(3):62–88
Alford J (1998) A public management road less travelled: clients as co-producers of public services. Aust J Public Adm 57(4):128–137
Alford J (2002) Why do public-sector clients coproduce? Toward a contingency theory. Adm Soc 34(1):32–56
Alford J (2009) Public value from co-production by clients. Working Paper, Melbourne, Australia and New Zealand School of Government
Angeli Ghisi F, Pinheiro Martinelli D (2006) Systemic view of interorganisational relationships: an analysis of business networks. Syst Pract Action Res 19:461–473
Bovaird T (2006) Developing new forms of partnership with the ‘market’ in the procurement of public services. Public Adm 84(1):81–102
Bovaird T, Loeffler E (2007) The public governance implications of user co-production of public services: a case study of public services in Carrick, UK. ASPA Annual Conference, Washington DC
Casey J, Dalton B (2006) The best of times, the worst of times: community-sector advocacy in the age of ‘compacts’. Aust J Polit Sci 41(1):23–38
Chung K, Lounsbury DW (2006) The role of power, process, and relationships in participatory research for statewide HIV/AIDS programming. Soc Sci Med 63(8):2129–2140
Church J, Saunders D et al (2002) Citizen participation in health decision-making: past experience and future prospects. J Public Health Policy 23(1):12–32
Cockburn T (2007) Partners in power: a radically pluralistic form of participative democracy for children and young people. Child Soc 21:446–457
Considine M (2002) The end of the line? Accountable governance in the age of networks, partnerships and joined-up services. Governance 15:21–40
Considine M, Lewis JM (2003) Bureaucracy, network, or enterprise? Comparing models of governance in Australia, Britain, the Netherlands, and New Zealand. Public Adm Rev 63:131–140
Cooper TL, Kathi PC (2005) Neighbourhood councils and city agencies: a model of collaborative coproduction. Natl Civ Rev Spring:43–53
Dunston R, Lee A et al (2009) Co-production and health system reform—from re-imagining to re-making. Aust J Public Adm 68(1):39–52
Entwistle VA, Renfrew MJ et al (1998) Lay perspectives: advantages for health research. BMJ 316(7129):463–466
Fereday J, Muir-Cochrane E (2006) Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods 5(1):1–11
Galuppo L, Gorli M, Ripamonti S (2010) Playing dissymmetry in action research: the role of power and difference in promoting participative knowledge and change. Syst Pract Action Res. doi:10.1007/s11213-010-9181-5
Gershon P (2004) Releasing resources to the front line: independent review of public sector efficiency. London, HMSO
Goduscheit RC, Bergenholtz C et al (2008) Action research in inter-organisational networks: impartial studies or the Trojan horse? Syst Pract Action Res 21:267–281
Habermas J (1981) Theorie des Kommunikativen Handelns (Bd. 1 und 2). Frankfurt am Main, Suhrkamp
Hanoch Y, Wood S et al (2007) Bounded rationality, emotions and older adult decision making: not so fast and yet so frugal. Hum Dev 50:333–358
Hunter S, Ritchie P (2007) Co-production and personalisation in social care: changing relationships in the provision of social care. Jessica Kingsley, London
Johnson A, Silburn K (2000) Community and consumer participation in Australian health services—an overview of organisational commitment and participation processes. Aust Health Rev 23(3):113–121
Kakabadse NK, Kakabadse A et al (2007) Communicative action through collaborative inquiry: journey of a facilitating co-inquirer. Syst Pract Action Res 20:245–272
Leadbeater C (2007) Personalisation through participation: a new script for public services. London, Demos
Loeffler E, Parrado S et al (2008) ‘If you want to go fast, walk along. If you want to go far, walk together’: citizens and the co-production of public services. Ministry of Budget, Public Finance and Public Services. European Presidency, Paris
Maguire P (2002) Commentary: reflections on co-operative inquiry in this historic moment. Syst Pract Action Res 15(3):263–270
McIntyre-Mills J (2010) Participatory design for democracy and wellbeing: narrowing the gap between services outcomes and perceived needs. Syst Pract Action Res. doi:10.1007/s1213-009-9145-9
Moon JA (2004) A handbook of reflective and experiential learning: theory and practice. Rountledge Falmer, New York
Morone JA, Kilbreth EH (2003) Power to the people? Restoring citizen participation. J Health Polit Policy Law 28(2–3):271–288
Nathan S (2004) Consumer participation: the challenge to achieving influence and equity. Aust J Primary Health 10(3):15–20
NDTi (2010) A guide to co-production with older people. National Development Team for Inclusion, Helen Sanderson Associates, Bath, UK
Needham C (2008) Realising the potential of co-production: negotiating improvements in public services. Soc Policy Soc 7(2):221–231
Needham C, Carr S (2009) Co-production: an emerging evidence base for adult social care transformation. SCIE Research briefing 31. Queen Mary University, Social Care Institute for Excellence, London
Ostrom V (1973) The intellectual crisis in American Public Administration. University of Alabama Press, Tuscaloosa, Ala
Ottmann G (2009) Democracy in the Making? Municipal reforms, civil society, and the Brazilian workers’ party. Nova Science Publishers, Hauppauge NY
Ottmann G, Laragy C (2010) Developing consumer-directed care for people with a disability: ten lessons for user participation in health and community care policy and program development. Aust Health Rev 34(1):390–394
Ottmann G, Allen J et al (2009) Self-directed community aged care for people with complex needs: a literature review. Uniting Care Community Options/Deakin University QRM, Melbourne
Oyum L (2007) Dilemmas of confrontation: challenging the participants while keeping the process going. Syst Pract Action Res 20:41–52
Parks RB, Baker PC et al (1981) Consumers as coproducers of public services: some economic and institutional considerations. Policy Stud J 9(7):1001–1011
Pettigrew PJ (2003) Power, conflicts, and resolutions: a change agent’s perspective on conducting action research within a multiorganizational partnership. Syst Pract Action Res 16(6):375–391
Reason P (2002) The practice of co-operative inquiry. Syst Pract Action Res 15:169–176
Reason P, Bradbury H (2001) Handbook of action research: participatory inquiry and practice. Sage, London, UK
Sharp E (1980) Toward a new understanding of urban services and citizen participation: the co-production concept. Midwest Rev Public Adm 14:105–118
Truluck JE, Courtenay BC (1999) Learning style preferences among older adults. Educ Gerontol 25:221–236
Vamstad J (2004) Co-production as a defining principle—a new typology for provision of welfare services in Sweden. In: EGPA conference, Ljubljana, Slovenia
Whitaker G (1980) Co-production: citizen participation in service delivery. Public Adm Rev 40:146–240
Zurakowski T, Taylor M et al (2006) Effective teaching strategies for the older adult with urologic concerns. Urol Nurs 26(5):355–361
Acknowledgments
The authors acknowledge the financial support of the Helen Macpherson Smith Trust, Percy Baxter Charitable Trust, B. B. Hutchings Bequest, John William Fleming Trust, and the Australian Research Council. Without their contributions this research would not have been possible. Moreover, the authors acknowledge the support of Uniting Care Community Options, the Brotherhood of St Laurence, Uniting Aged Care, Carers Victoria, Alzheimer’s Australia Victoria, and The Council on the Ageing.
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Ottmann, G., Laragy, C., Allen, J. et al. Coproduction in Practice: Participatory Action Research to Develop a Model of Community Aged Care. Syst Pract Action Res 24, 413–427 (2011). https://doi.org/10.1007/s11213-011-9192-x
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DOI: https://doi.org/10.1007/s11213-011-9192-x