Experiences of participants in the co-design of a community-based health service for people with high healthcare service use

Experiences of participants in the co-design of a community-based health service for people with high healthcare service use

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Abstract Background Incorporating perspectives of health consumers, healthcare workers, policy makers and stakeholders through co-design is essential to design services that are fit for purpose.However, the experiences of co-design participants are poorly understood.The aim of this study is to explore the experiences and perceptions of people involved in the co-design of a new service for people read more with high healthcare service utilisation.Methods A methodology informed by the principles of grounded theory was used in this qualitative study to evaluate the experiences and perceptions of co-design participants.Participants were healthcare professionals, health managers and leaders and health consumers involved in the co-design of the new service in Tasmania, Australia.

Semi-structured interviews were conducted, and data were iteratively and concurrently collected and analysed using constant comparative analysis.Audio/audio-visual recordings of interviews were transcribed verbatim.Transcripts, memos, and an audit trail were coded for experiences and perspectives of participants.Results There were thirteen participants (5 health professionals, 6 health managers and leaders, and 2 health consumers).Codes were collapsed into six sub-themes and six themes.

Themes were bureaucracy hinders co-design, importance of consumers and diversity, importance of a common purpose, relationships are markbroyard.com integral, participants expectations inform their co-design experience and learning from co-design.Conclusion Most participants reported positive aspects such as having a common purpose, valuing relationships, and having a personal motivation for participating in co-design.However, there were factors which hindered the adaptation of co-design principles and the co-design process.Our research highlights that bureaucracy can hinder co-design, that including people with lived experience is essential and the need to consider various types of diversity when assembling co-design teams.Future co-design projects could use these findings to improve the co-design experience for participants, and ultimately the outcome for communities.