Why People Co-Produce: Analysing citizens’ perceptions on co-planning engagement in health care services

Abstract

The aim of this article is to comprehend the motivation of citizens to co-produce. More specifically, it considers citizens’ motivations to engage in co-planning activities of health care services. The article brings together theoretical insights and empirical data. First, we integrate insights from different strands of literature. We combine literature on citizen participation, political efficacy, co-production, volunteerism, public service motivation, and customer engagement to offer a first understanding of citizens’ motivations to actively engage as co-producers of public services. Next, empirical data are derived from one specific case: citizens participating in client councils in health care organizations. Q-methodology, a method designed to systematically study persons’ viewpoints, is used to distinguish different perspectives citizen have on their engagement in co-production. Our analysis of citizens’ motivations to engage in client councils enables us to identify four types of citizen co-producers, which we label: the semi-professional, the socializer, the network professional, and the aware co-producer. Implications for future research studying citizens’ motivations in a broader range of co-production cases are discussed.     

Realizing public values: enhancement or obstruction? Exploring value tensions and coping strategies in the co-production of social care

ABSTRACT

We examine the potential of co-production to enhance or obstruct the realization of public values by analysing what value tensions co-producers experience and what coping strategies they follow. In-depth study of a social care initiative in Flanders shows that co-production enhances the realization of values relating to services delivered, relationships between public servants and citizens, and the democratic quality of the service delivery process. However, public servants and citizen co-producers experience tensions between values, such as efficiency, individual freedom of co-producers, reciprocity, and inclusion. In trying to deal with these value tensions, public servants are found to follow a variety of coping strategies, whereas citizen co-producers tend to escalate tensions or avoid coping with them. The type of coping strategy followed, however, influences if and what values are ultimately represented in the service delivery process and its results.     

Operationalizing Co-Production in Public Services Delivery: The contribution of service blueprinting

Abstract

We have argued for public services to move away from product-dominant logic towards a service approach. By taking a services orientation, the experience, inter-organizational, and systemic nature of public services delivery can be considered along with the role of the service user as a co-producer. In this article, we unpack how co-production can be operationalized through the application of service blueprinting. This article presents an example within higher education where the creation of a blueprint brought together staff and students to focus on the design of student enrolment, resulting in improved student experience and supporting co-production.     

Opportunities and Challenges in Engaging Citizens in the Co-Production of Infrastructure-Based Public Services in Australia

Research and practice have observed a shift towards service-oriented approaches that depend on input from citizens as co-producers of services. Yet in the delivery of public infrastructure the focus is still on managing assets rather than services. Using a Policy Delphi approach, we found that although experts advocate service-centric approaches guidelines and policies lack a service-centric perspective. Findings revealed a range of impediments to effective stakeholder involvement. The paper contributes to co-production and new public governance literature and offers directions for public infrastructure decision-makers to support and reconnect disengaged government–citizen relations, and determine ways of understanding optimal service outcomes.     

Coordination of Welfare Through a Large Integrated Organization: The Australian department of human services

Abstract

An integrated organization is one option for handling the provision of services in a welfare state. Australia’s welfare administration is centred on a mega department, the largest within the public service, with wide delivery responsibilities. Integration means that many welfare relationships are largely internalized, but this does not preclude the horizontal and vertical coordination problems of a large and complex organization, particularly where elements of the policy system extend outside. The research examines how to explain the use of an integrative form of coordination for service delivery, and how policy and implementation is coordinated.     

Handbook on development policy and management

ABSTRACT

Although the public service logic (PSL) has been an important equipoise to the predominant goods-manufacturing logic, there is potential to broaden its scope. An explicit integration of social context may contribute to an enhanced conceptual understanding of the PSL, at the same time addressing a major challenge in healthcare: disparities among population groups. A ‘representative co-production’ approach is suggested. In such an approach, group representatives’ knowledge and skills are used in evaluating, designing, and delivering services with the purpose of supporting other group members’ value co-creation. A case is provided, demonstrating representative co-production in access to preventive health services.     

Co-Production and the Co-Creation of Value in Public Services: A suitable case for treatment?

Co-production is currently one of cornerstones of public policy reform across the globe. Inter alia, it is articulated as a valuable route to public service reform and to the planning and delivery of effective public services, a response to the democratic deficit and a route to active citizenship and active communities, and as a means by which to lever in additional resources to public service delivery. Despite these varied roles, co-production is actually poorly formulated and has become one of a series of ‘woolly-words’ in public policy. This paper presents a conceptualization of co-production that is theoretically rooted in both public management and service management theory. It argues that this is a robust starting point for the evolution of new research and knowledge about co-production and for the development of evidence-based public policymaking and implementation.     

Co-Production,Interdependence and Publicness: Extending public service-dominant logic

This article argues that while the idea of public service-dominant logic (PSDL) has much to offer, there remains room to extend it. First, the article fine-tunes the argument that co-production is unavoidable in services management, by categorizing the different things co-producers provide and analysing their interdependencies. Second, it seeks to account for collectively consumed public value, which is neglected in PSDL. Third, it recognizes that far from ‘delighting’ customers, many public services entail applying the coercive authority of the state to those with whom they deal. The article proposes a reconceptualization of the notion of ‘client focus’.     

Co-Production and Value Co-Creation in Outcome-Based Contracting in Public Services

This paper contributes to theorizing and analysing different processes of co-production and value co-creation within outcome-based contracting (OBC). It investigates how different OBC mechanisms are implemented in practice, and with what implications for public service users’ experiences and outcomes. Using realist synthesis techniques, the paper analyses existing evaluations that focus on users’ experiences of OBC in welfare-to-work services and a homelessness project. It highlights how OBC can affect equality, effectiveness and innovation within public services. The paper also exemplifies the importance of analysing how the political and policy context of public services affects both service pathways and their outcomes.     

The social impact of advice during disability welfare reform: from social return on investment to evidencing public value through realism and complexity

ABSTRACT

This article illustrates how advice services create diverse public values within welfare reform. It develops a social impact framework using public value, realism, and complexity literature. Starting from a social return on investment study of advice, qualitative interviews are analysed with twenty-two clients, who sought advice for welfare benefits, and had disabilities, or physical or mental health conditions. Integrating these clients’ experiences with wider evidence illustrates how advice services advocated for people’s needs within a complicated (and controversial) welfare system. However, advice services face funding cuts, benefit assessment costs have risen, and welfare reforms have yet to meet their aims.     

False promises of co-production in neighbourhood regeneration: the case of Dutch community enterprises

Many European countries are implementing austerity measures alongside trends of welfare state retrenchment. Entrepreneurial forms of active citizenship are considered as a new form of public management to fill gaps left by spending cuts and to continue neighbourhood regeneration. Inspired by British practices, Dutch citizens are trying to set up community enterprises (CEs) to provide services or other benefits for residents in deprived neighbourhoods. Based on a qualitative panel study, this article reveals supportive responses but also resistance from local governments and housing associations. Within a positive policy discourse on co-production, institutional responses often encompass forms of ‘counter-production’ that hold CEs in full uncertainty about crucial conditions for their business.     

New roles for end-users in innovative public procurement: case study on user engaging property procurement

Improving valued outcomes of public procurement lies in user and community co-production. Applying insight from network role theory, this case study tackles challenges faced by both procurer and supplier in interacting with diverse service end-users in various procurement situations. The findings are based on interview, participant observation, and documentation data from three innovative property procurement projects. We suggest four situation-specific roles end-users adopt: conventional, cooperative, collaborative, and controlling. The article reasserts the dispute of viewing end-user’s role only through interpretation of either private-sector consumer or public-sector citizen, while a mix of both views is needed.     

Restoring Trust Through the Co-Production of Public Services: A theoretical elaboration

Abstract

Co-production, the involvement of clients in the delivery of public services, is believed to foster trust. However, there is insufficient research on this topic to prove what is at present merely an assumption. This article gives theoretical insights into this relationship. First, it is identified that co-production relates to identification-based trust. Second, the most important theoretical mechanisms are identified that link the two concepts: increasing self-efficacy and the creation of trust networks. A third step is to move towards a more contingent perspective. This involves not only favourable conditions, but also obstructions to trust-building, such as crowding-out motivations and free-riding.     

(Co)-Contamination as the Dark Side of Co-Production: Public value failures in co-production processes

Co-production is associated with the expanding role that citizens and other third-party actors assume in the development and delivery of public services. While there are benefits to co-production, there are also challenges. This study draws from the marketing literature on value co-destruction to describe the processes in co-production of public services that can negatively affect public values from regular producers and users. We refer to this public value failure as co-contamination. Two case studies are used to explore some of the ‘dark sides’ of co-production. Our analyses reveal the co-contaminating aspects of this process and offer implications for public managers.     

Collaboration,Co-Production,Networks: Convergence of theories

Abstract

This article suggests a framework to study service delivery networks that draws on the theories of collaboration, co-production, and networks combined. We introduce four dimensions of co-production under ‘coproduction-oriented collaborations’. This framework allows us to ‘zoom in and zoom out’ when we study networks. Using the case method approach, the framework is applied to analyse four networks in Singapore. Findings suggest that network process, network structure, and characteristics of actors are crucial to a network’s performance and coproduction’s effectiveness. This article also offers implications for practice that in certain contexts the usage of these concepts is for managerial effectiveness and not for enhancing democratic values.     

东营市公共服务标准化实践与探索

随着标准化理论的广泛应用,将标准化简化、统一、协调、优化等原理应用于公共服务领域,能有效地利用公共资源,简化工作程序,提供高效和可持续服务,达到公共服务领域的最佳状态。本文分析了东营市公共服务领域标准化实践、待解决问题,并提出了相关发展建议,为以标准化手段促进公共服务高效均等化、建设服务型政府提供参考。     

Citizen Participation in Urban Governance in the Context of Democratization: Evidence from Low‐Income Neighbourhoods in Mexico

Participation has recently been subject to renewed attention and critique in the context of neoliberal urban governance. This is especially relevant in countries where decentralization and democratization in the context of neoliberalism have led to increased promotion of local‐level participation. This article suggests that current critiques of participation's potential for democratic citizen engagement in a neoliberal context would benefit from further reflection on how participation is implemented in contexts, particularly the global South, where neoliberalism and democracy may be understood differently. Different ‘cultures of engagement’ in specific settings suggest that understandings and practices of participation draw on different traditions, including corporatism and self‐help. This article seeks to add to the debate by exploring the socio‐spatial consequences of participation structures in low‐income neighbourhoods in a provincial Mexican city. Based on qualitative research in two low‐income neighbourhoods in Xalapa, Mexico, it examines how the provisions of the local citizen‐participation framework compare with residents' experiences of it. Formalized conceptions of participation, framed as involvement in service provision, interact with and shape residents' activities in developing their neighbourhoods. This has consequences for urban development there, including the reflection and reproduction of social and spatial marginalization.     

The impact of public service values on services of general interest reform debates

Abstract

Competing values complicate debates on the reform of public services. Attention for competition and efficiency is balanced by concerns for equity and universality in service delivery. These potential value conflicts are best visible in the reform of services of general interest. Despite debates at the European and the national level, current research on services of general interest has been limited to scholars in law and economics. Citizens' opinion on the guiding principles of service delivery is generally disregarded. In this article, we analyse a number of Eurobarometer surveys dealing with services of general interest, as well as a general survey of citizens' perceptions of the public sector in Belgium. We delineate clusters of citizens' public service delivery value orientations, and show that one-sided or ideology-based reform strategies probably negate many of the continuing dilemmas in public service delivery.     

Do professional associations make a difference?: linking municipal managers’ association participation and attitudes toward citizen participation

ABSTRACT

There has been a lingering debate on the relationship between public managers’ professional socialization and their acceptance of citizen participation. In this paper, it is empirically confirmed that association participation strengthens municipal managers’ predispositions toward engaging citizens. It is found that municipal managers that are active in generalist-oriented professional associations will be more likely to realize successful practices for citizen engagement in peer municipalities, which boosts their perceived sense of citizen contribution, and reduces their perceptions on the costliness of engaging citizens. These relationships are found to be mediated by municipal managers’ technocratic orientation and engagement self-efficacy.     

对“付费性公益”的一个理论解释

在市场经济中构建公益服务体系,因其混合性和高度复杂性,已成为挑战市场与政府范式的前沿课题。文章通过对公权事务、人权事务与共生事务的划分定义了公益概念,将公益划分为三个层次,提出并分析了付费性公益概念;借鉴社会学"场域"概念和康芒斯交易理论,划分了三个资源配置场域,对物品进行了新的分类,并以此建立了三类供求关系构型,以解释付费性公益与市场和政府之间的职能分工;从三个层面梳理出付费性公益运行的三重机制体系。