ABSTRACT

Including frail older people in the development and improvement of healthcare is a topical issue and co-production represents a common approach. How to practice co-production effectively, however, remains challenging, particularly when including vulnerable populations. This paper provides methodological highlights from a project designed to improve care pathways for frail older people. The project applied a co-constructive approach to co-production using situated interviews. We make four recommendations for practice and two linked conclusions – that situated interviews represent a flexible and accessible method for engaging vulnerable populations and that conceptual clarity is essential to the delivery of effective co-production.

摘要

在医疗保健的发展和改善中纳入脆弱的老年人是一个热门话题，共同生产是一种常见的方法。但是，如何有效地进行联合生产仍然是一个挑战，特别是在包括弱势群体在内的情况下。本文提供了旨在改善脆弱的老年人护理途径的项目中的方法论要点。该项目采用现场访谈的方式，采用共同建设的方式进行联合制作。我们提出四项实践建议和两个相关结论–现场访谈代表了一种灵活且可访问的方法，可以使脆弱的人群参与进来​​，并且概念清晰对于交付有效的联合制作至关重要。