Offering recommendations for the future and discussion points, this book explores the underlying concepts, methods and practices for experience-based design, applying a user-focused approach to healthcare systems.

Healthcare in most developed countries face a complex and partly contradictory mix of financial, social and political challenges. Fiscal strains combined with New Public Management agendas have caused severe cutbacks and calls for greater efficiency in public healthcare, resulting in a growing concern about service quality. Co-production and Japanese Healthcare explores a possibility to address these issues from a new perspective that emphasizes greater collaboration between the staff and patients. Here professionals and patients/clients act as 'partners to co-produce healthcare through their mutual contributions'. Japan has a unique system of two user-owned healthcare providers with nearly 200 hospitals, 500 clinics and 50,000 beds. However, they differ from each other and from public hospitals, in terms of their work environment, service quality, governance models and social values. This volume compares cooperative and public healthcare providers at ten hospitals across Japan with survey data from the staff, as well as from the patients and volunteers at four hospitals. It will be of interest to researchers, academics, and students in the fields of healthcare management, public and non-profit management, human resource management.

Co-production and co-creation occur when citizens participate actively in delivering and designing the services they receive. It has come increasingly onto the agenda of policymakers, as interest in citizen participation has more generally soared. Expectations are high and it is regarded as a possible solution to the public sector’s decreased legitimacy and dwindling resources, by accessing more of society’s capacities. In addition, it is seen as part of a more general drive to reinvigorate voluntary participation and strengthen social cohesion in an increasingly fragmented and individualized society. "Co-Production and Co-Creation: Engaging Citizens in Public Services" offers a systematic and comprehensive theoretical and empirical examination of the concepts of co-production and co-creation and their application in practice. It shows the latest state of knowledge on the topic and will be of interest both to students at an advanced level, academics and reflective practitioners. It addresses the topics with regard to co-production and co-creation and will be of interest to researchers, academics, policymakers, and students in the fields of public administration, business administration, economics, political science, public management, political science service management, sociology and voluntary sector studies.

"Research coproduction is an approach to health research that involves working collaboratively with knowledge-users as partners in the research process. It allows multiple perspectives to influence the research question and approach so that it better reflects the needs of those using the knowledge in practice. Decision-making is shared by researchers and knowledge-users throughout the research process. By linking knowledge and practice at the research stage, bilateral or multilateral exchange of expertise leads to more relevant, feasible, and used research findings, and improved dissemination and impact via networks created with the knowledge-users. This introductory chapter defines research coproduction, inclusive of divergent conceptualizations of how stakeholders and knowledge-users are defined and engaged and explores similar collaborative research approaches that have informed the way coproduction is approached and understood. The potential benefits, relevance, and conduct of research coproduction are introduced and sets an initial understanding to explore the various foundations, applications, and processes in the following chapters of this book"--

This book examines user and community co-production of public services and outcomes, currently one of the most discussed topics in the field of public management and policy. It considers co-production in a wide range of public services, with particular emphasis on health, social care and community safety, illustrated through international case studies in many of the chapters. This book draws on both quantitative and qualitative empirical research studies on co-production, and on the Governance International database of more than 70 international co-production case studies, most of which have been republished by the OECD. Academically rigorous and systematically evidence-based, the book incorporates many insights which have arisen from the extensive range of research projects and executive training programmes in co-production undertaken by the author. Written in a style which is easy and enjoyable to read, the book gives readers, both academics and practitioners, the opportunity to develop a creative understanding of the essence and implications of co-production.

This book examines the various ways in which co-production can contribute to the creation, design, and delivery of public services, namely by engaging the expertise of users and their networks, by promoting public services that are better targeted and more responsive to users, by cutting costs against the background of austerity in public finance, by creating a synergy between government and civil society that will impact positively on social capital, and by addressing the challenges resulting from growing democratic and citizenship deficits. Particular attention is paid to local government and the health and social care sector. After definition of the concept of co-production, the critical issues which arise when public services are co-produced are discussed. Various experiences of co-production are presented and analyzed with a view to highlighting why, how, and with what effect public service co-production may be implemented. Individual chapters focus on the impact of co-production in making cities smarter and the use of ICT in supporting co-production of public services. The book will be of relevance to a wide readership, from students to academics and professionals interested or engaged in public service management.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.