Improving health care services through Experience-based Co-design

By Glenn Robert and Annette Boaz

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Glenn Robert (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:

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Six lessons about change that affect research impact

By Gabriele Bammer

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Gabriele Bammer (biography)

What do researchers need to know about change to help our research have greater impact? What kind of impact is it realistic to expect? Will understanding change improve the ways we assess research impact?

The six lessons described here illustrate some of the complexities inherent in understanding and trying to influence change.

#1. Research findings enter a dynamic environment, where everything is changing all the time

As researchers we often operate as if the world is static, just waiting for our findings in order to decide where to head next. Instead, for research to have impact, researchers must negotiate a constantly changing environment.

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The interplay between knowledge and power / La interacción entre el conocimiento y el poder

By Cristina Zurbriggen

cristina-zurbriggen
Cristina Zurbriggen (biography)

An English version of this post is available

La mayoría de los recientes enfoques para abordar problemas complejos no incluyen la dimensión política. Por otra parte, la ciencia política, así como los estudios de política pública y de gobierno contemporáneo han realizado escasas contribuciones al tratamiento de los procesos de toma de decisiones desde dinámicas complejas.

¿Cómo podemos desarrollar marcos innovadores que incorporen la dimensión política?

Read moreThe interplay between knowledge and power / La interacción entre el conocimiento y el poder

Can co-creation achieve better outcomes for people and communities?

By Deborah Ghate

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Deborah Ghate (biography)

The language of ‘co-processes’ is much in vogue in policy, practice and academic communities worldwide. In commerce, product design and politics, the power of the crowd has long been recognised, but can co-processes be harnessed for the public good? The answer, right now, appears to be ‘maybe’.

What are co-processes and what are they for?

The briefest survey of the literature on co-processes confirms there is substantial variation in how they are defined and what methods or techniques they include. A confusing multiplicity of related terms exists—co-construction, co-production, co-design, co-innovation, co-creation—all are in regular use, sometimes interchangeably, and often defined at an unhelpful level of abstraction (for more on this topic see the blog post by Allison Metz on Co-creation, co-design, co-production, co-construction: same or different?). Nevertheless, however we define co-processes, participatory methods, boundary-spanning and inclusivity to varying degrees are foundational principles that can be detected in most accounts. Beyond that, the stated purposes and proposed outcomes vary considerably.

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Towards an evaluation framework for participatory modeling

By Miles McNall

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Miles McNall (biography)

What are the results of participatory modeling efforts? What contextual factors, resources and processes contribute to these results? Answering such questions requires the systematic and ongoing evaluation of processes, outputs and outcomes. At present participatory modeling lacks a framework to guide such evaluation efforts. In this post I offer some initial thoughts on the features of this framework.

A first step in developing an evaluation framework for participatory modeling is to establish criteria for processes, outputs, and outcomes. Such criteria would answer a basic question about what it means when we say that a participatory modeling process, output, or outcome is good, worthy, or meritorious.

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Research impact: Six kinds of change

By Gabriele Bammer

Gabriele Bammer (biography)

What kinds of change can implementation of research findings contribute to? Sometimes the aim is to make change happen, while at other times research implementation is in response to particular proposed or ongoing change.

Making change happen

Two ways of making change happen that are important for research impact are: 1) contributing to the on-going quest for improvement and 2) combatting practices or behaviours that have negative outcomes for individuals or society.

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