Exploring the success of co-produced activities in primary health care: An analysis of three different approaches in NSW Australia

Background: Collaboratively designing and delivering integrated primary health care that consistently achieves gold-standard outcomes and lasting impact remains a global challenge. To better understand the effectiveness of coproduced approaches, this presentation explores three case studies, highlighting recurring pitfalls and key enablers of success in the design and implementation of coproduced activities. It offers an overview of early insights from the analysis, providing valuable lessons for future practice.

 

Approach: This research seeks to bring data together from a range of sources (including the literature, setting, and stakeholders) to understand the design, implementation, impact, and sustainability of three different approaches. As such, a case study approach is particularly suitable for examining the complex relationship between the stakeholders in co-designing and co-creating health and integrated care approaches in different primary health care settings. A variety of methods will be used to collect data to enable data triangulation, ensuring the data is robust and strengthening the scientific rigour of the conclusions drawn.

 

Results: We are presenting early results of the case study analysis. Three case studies have been assessed to inform this research: An early years education and social integration intervention in Newcastle NSW, Australia; A neighbourhood driven approach supporting older people on the Central Coast of NSW, Australia; and a model of care for chronic pain management for First Nations people in Armidale NSW, Australia.

 

Methods: of data collection include the study of documents, participant/non-participant observation of meetings, interviewing and surveying, and conversations including focus groups and workshops. Grounded theory was used to systematically analyse and theme data from all three contexts. A modified logic model was created for each of the three case studies using the FAIT framework, considering inputs/demand, outputs, and impact. This approach to data collection aids theme identification (grounded theory) and the discovery of theory from data and analysis, beginning with qualitative analysis.

 

Implications: There are currently no consistent theoretical frameworks through which to assess the process and value of a co-produced, co-created, or co-designed (the Three-Cs) implementation within a primary health care context. Therefore, this research seeks to use descriptive and explanatory case studies and analysis using the FAIT framework to allow synthesis of the findings and inform the development of recommendations for implementation guidelines supporting the Three-Cs in different primary health care contexts. Including people in the design and implementation of approaches to place-based care ensures integration of local services that meet people's needs.