Co-creation, co-design, and co-production: Applying the ‘Three Cs’ to promote health and wellbeing for people in the community.

Short introduction/background: This presentation will provide an overview of the results of a scoping review undertaken to understand and map how co-creation, co-design, and co-production (the Three C’s) methodologies have been designed and delivered. The scoping review also looks at whether frameworks or guidelines have been developed as a result of any implementation.

An overview of a systematic review will also be provided; this approach was undertaken to investigate the impact / effectiveness of the Three-Cs methodologies on the following processes and outcomes:

a)improved collaborations between partners in care across the spectrum of community, health, systems etc.

b)improved care and community experience and engagement.

c)improved health outcomes for people and populations.

d)increased sustainability within the health workforce.

e)cost effectiveness of the health care system.

f)differential impact depending on the context of the use of the Three-Cs.

The 9 pillars of integrated care underpin the drivers for this research.

Target community: Primary health care contexts.

Engagement approach: Case-study based research with three different communities (regional, rural, remote) will be undertaken to assess the benefits and opportunities for improvement through the Three Cs approach.

What we did: Undertook a scoping review and a systematic review. Results and learnings from the case-studies have yet to be established.

Next steps:

•Undertake case-study based research with three different communities (regional, rural, remote) to assess the benefits and opportunities for improvement through the Three C approach.

•Develop implementation guidelines for the effective design and implementation of the ‘Three Cs’ in the Australian context from both a health system and clinician point of view, specifically their contribution to enabling system sustainability through retaining clinicians in the workforce and better value health care, and how the approach may need to be differentiated across regional, rural, and remote contexts.