Abstract
Background: When we consider the definition of best practice primary health care (PHC) [1], co-production, co-creation, and co-design (the Three-Cs) have the potential to enhance and underpin the interface between service provision and effective person-centred care.
Methods and approaches to define and support the implementation of the Three-Cs are already established within the PHC context; however, they vary depending on the perspective of the project lead, the area of study, and the context. Additionally, there is very little evidence around the impact and sustained outcomes achieved through using these methods and approaches within PHC settings.
Approach: This presentation will give an overview of the work undertaken to date to: (1) assess how co-production, co-creation, and co-design approaches have been implemented in PHC settings to improve health and wellbeing outcomes for communities, (2) to evaluate the extent to which these approaches have effected sustained system change within PHC, and (3) to provide recommendations for the development of evidence-based, localisable guidelines that outline successful ways to implement the Three-Cs and support sustainability (defined as continued capacity, continued delivery, and continued receipt of benefit from the innovation [2]).
These aims will be explored using the following methods:
1.A systematic review of the literature to understand the scope of evidence available on the design, implementation, impact, and sustainability of the Three-Cs in PHC settings.
2.Case studies to examine the design, implementation, impact, and sustainability of a Three-Cs approach in three different PHC contexts (varied by target populations and geographical setting).
3.Development of recommendations based on the data and evidence collected to support the evidence-based implementation guidance for effective design and implementation of a Three-Cs approach, leading to impactful and sustained change.
Results: The results of the literature review will be outlined, and an overview of the three case studies selected to contribute to this research. Preliminary findings will be presented.
Implications:
The audience will gain an understanding of:
•the literature in this area.
•the challenges and opportunities in using a Three-Cs approach in primary health care to support effective implementation and system change.
•considerations for assessment of case studies in this context.
References:
1.World Health Organization. Primary Health Care. Available from: https://www.who.int/health-topics/primary-health-care#tab=tab_1.
2.Urquhart, R., et al., Defining sustainability in practice: views from implementing real-world innovations in health care. BMC Health Services Research, 2020. 20(87).