Outlining the role of experiential expertise in professional work in health care service co-production

Patient and public involvement is widely thought to be important in the improvement of health care delivery and in health equity.Purpose: The article examines the role of experiential knowledge in service co-production in order to develop opiate substitution treatment services (OST) for high-risk op...

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Main Authors: Hannele Palukka, Arja Haapakorpi, Petra Auvinen, Jaana Parviainen
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2021.1954744
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author Hannele Palukka
Arja Haapakorpi
Petra Auvinen
Jaana Parviainen
author_facet Hannele Palukka
Arja Haapakorpi
Petra Auvinen
Jaana Parviainen
author_sort Hannele Palukka
collection DOAJ
description Patient and public involvement is widely thought to be important in the improvement of health care delivery and in health equity.Purpose: The article examines the role of experiential knowledge in service co-production in order to develop opiate substitution treatment services (OST) for high-risk opioid users.Method: Drawing on social representations theory and the concept of social identity, we explore how experts’ by experience and registered nurses’ understandings of OST contain discourses about the social representations, identity, and citizenship of the participants and the effects these may have on developing or hindering inclusive and bottom-up forms of patient and public involvement.Results: The meeting sessions that potentially offer room for creativity and problem-solving fail to provide any new propositions for fixing the system. The health care professionals primarily identify themselves as regulators who protect the correctness of their actions and show little interest in considering experiential knowledge on opioid addiction. Conclusion: The participation of patients has been one of the prominent reforms implemented in health care. The goal of client-centered thinking is often emphasised; however, the implementation is not simple due to the strongly institutionalised knowledge and related working patterns and practices in health care.
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spelling doaj.art-9555ec4619c14573bb7bf6d87a5bacc82022-12-21T20:19:58ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312021-01-0116110.1080/17482631.2021.19547441954744Outlining the role of experiential expertise in professional work in health care service co-productionHannele Palukka0Arja Haapakorpi1Petra Auvinen2Jaana Parviainen3Tampere University of Applied SciencesTampere UniversityTampere UniversityTampere UniversityPatient and public involvement is widely thought to be important in the improvement of health care delivery and in health equity.Purpose: The article examines the role of experiential knowledge in service co-production in order to develop opiate substitution treatment services (OST) for high-risk opioid users.Method: Drawing on social representations theory and the concept of social identity, we explore how experts’ by experience and registered nurses’ understandings of OST contain discourses about the social representations, identity, and citizenship of the participants and the effects these may have on developing or hindering inclusive and bottom-up forms of patient and public involvement.Results: The meeting sessions that potentially offer room for creativity and problem-solving fail to provide any new propositions for fixing the system. The health care professionals primarily identify themselves as regulators who protect the correctness of their actions and show little interest in considering experiential knowledge on opioid addiction. Conclusion: The participation of patients has been one of the prominent reforms implemented in health care. The goal of client-centered thinking is often emphasised; however, the implementation is not simple due to the strongly institutionalised knowledge and related working patterns and practices in health care.http://dx.doi.org/10.1080/17482631.2021.1954744patient and public involvementexperts by experienceopiate substitution treatmentsocial representation theorysocial identity
spellingShingle Hannele Palukka
Arja Haapakorpi
Petra Auvinen
Jaana Parviainen
Outlining the role of experiential expertise in professional work in health care service co-production
International Journal of Qualitative Studies on Health & Well-Being
patient and public involvement
experts by experience
opiate substitution treatment
social representation theory
social identity
title Outlining the role of experiential expertise in professional work in health care service co-production
title_full Outlining the role of experiential expertise in professional work in health care service co-production
title_fullStr Outlining the role of experiential expertise in professional work in health care service co-production
title_full_unstemmed Outlining the role of experiential expertise in professional work in health care service co-production
title_short Outlining the role of experiential expertise in professional work in health care service co-production
title_sort outlining the role of experiential expertise in professional work in health care service co production
topic patient and public involvement
experts by experience
opiate substitution treatment
social representation theory
social identity
url http://dx.doi.org/10.1080/17482631.2021.1954744
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