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Commissioning and co-production in health and care services in the United Kingdom and Ireland: An exploratory literature review.
Scott, Rebecca J; Mathie, Elspeth; Newman, Hannah J H; Almack, Kathryn; Brady, Louca-Mai.
Afiliación
  • Scott RJ; Library and Computing Services, University of Hertfordshire, London, UK.
  • Mathie E; Health and Social Care Inclusion, Centre for Research in Public Health and Community Care, University of Hertfordshire, London, UK.
  • Newman HJH; Applied Psychology, School of Life and Medical Sciences, University of Hertfordshire, London, UK.
  • Almack K; Family Lives and Care, Centre for Research in Public Health and Community Care, University of Hertfordshire, London, UK.
  • Brady LM; Communities, Young People and Family Lives, CRIPPAC, Centre for Research in Public Health and Community Care, University of Hertfordshire, London, UK.
Health Expect ; 27(3): e14053, 2024 06.
Article en En | MEDLINE | ID: mdl-38698629
ABSTRACT

INTRODUCTION:

This exploratory literature review seeks to examine the literature around commissioning processes in the co-production of health and care services, focusing on two questions How do health and care commissioning processes facilitate and/or pose barriers to co-production in service design and delivery? What are the contextual factors that influence these processes?

METHOD:

A systematic search of three databases (Medline, Public Health and Social Policy and Practice) and a search platform (Web of Science) was conducted for the period 2008-2023. A total of 2675 records were retrieved. After deduplication, 1925 were screened at title and abstract level. Forty-seven reports from 42 United Kingdom and Ireland studies were included in the review. A thematic synthesis of included studies was conducted in relation to the research questions.

RESULTS:

The review identified one overarching theme across the synthesised literature the complexity of the commissioning landscape. Three interconnected subthemes illuminate the contextual factors that influence this landscape commissioners as leaders of co-production; navigating relationships and the collective voice.

CONCLUSION:

Commissioning processes were commonly a barrier to the co-production of health and care services. Though co-production was an aspiration for many commissioners, the political and economic environment and service pressures meant that it was often not fully realised. More flexible funding models, longer-term pilot projects, an increased emphasis in social value across the health and care system and building capacity for strong leadership in commissioning is needed. PATIENT AND PUBLIC CONTRIBUTION Patients and the public did not contribute to this review as it was a small piece of work following on from a completed project, with no budget for public involvement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención a la Salud Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Health Expect Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención a la Salud Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Health Expect Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido