Improving health care services through Experience-based Co-design

By Glenn Robert and Annette Boaz

authors_glenn-robert_annette-boaz
1. Glenn Robert (biography)
2. Annette Boaz (biography)

There is lots of talk about the potential of co-creation as an approach to improving public services, but what does it actually look like (and do) in practice?

We describe one specific approach that has been used extensively for improving the quality of health care services: Experience-based Co-design.

Key Features and Stages

Experience-based Co-design draws on elements of participatory action research, user-centred design, learning theory and narrative-based approaches to change.

The key features of Experience-based Co-design are that it:

  1. places patients at the heart of a quality improvement effort working alongside staff to improve services
  2. maintains a focus on designing experiences (not just systems or processes).

It has six stages.

Stage 1 involves establishing the governance and project management arrangements.

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Where are the stakeholders in implementation science?

By Allison Metz and Annette Boaz

authors_allison-metz_annette-boaz
1. Allison Metz (biography)
2. Annette Boaz (biography)

Should implementation science make more room for consultation, collaboration and co-creation with stakeholders? Would finding more active roles for stakeholders in implementation science be a promising approach to increasing the use of research evidence for improvements in policy and services?

The goal of implementation science is to promote the sustainable implementation of research evidence at scale to improve population outcomes, especially in health and human services. Nevertheless, the mobilization of research evidence on the frontlines of health and human services has been quite limited, especially in public agencies serving the vast majority of consumers.

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Creativity in co-creation

annette-boaz
Annette Boaz (biography)

By Annette Boaz

Twenty years ago, at one of the first research workshops I held for stakeholders, a participant from the local community put up his hand and asked when we were going to start making something. I obviously looked confused so he picked up the workshop flyer and pointed to the word ‘workshop.’ “You make things in workshops don’t you?” he asked.

At the time, I took this as a lesson in choosing your terminology with care when working with diverse groups of stakeholders. However, on looking back I wonder if I missed something else. Was I so pre-occupied with my own standard practices of meetings that I failed to see that his comment might have been as much about my ways of working as my choice of words?

Fast forward to our first meeting of the SESYNC Co-creative Capacity pursuit in April 2016 in beautiful Annapolis, Maryland, USA. We are talking about co-creating knowledge for service improvement, but are we about to fall in to the trap of developing ‘business as usual’ approaches drawn from our own professional practices? However, the conversation takes a turn and we are talking about drama, art, dance and (in my case) building with LEGO.

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