Department of Economics, Management and Quantitative Methods (DEMM), Università degli Studi di Milano, via Conservatorio, 7, 20122, Milan, Italy.
BMC Health Serv Res. 2020 Jun 5;20(1):504. doi: 10.1186/s12913-020-05241-2.
Due to an increasingly elderly population, a higher incidence of chronic diseases and higher expectations regarding public service provision, healthcare services are under increasing strain to cut costs while maintaining quality. The importance of promoting systems of co-produced health between stakeholders has gained considerable traction both in the literature and in public sector policy debates. This study provides a comprehensive map of the extant literature and identifies the main themes and future research needs.
A quantitative bibliometric analysis was carried out consisting of a performance analysis, science mapping, and a scientific collaboration analysis. Web of Science (WoS) was chosen to extract the dataset; the search was refined by language, i.e. English, and type of publication, i.e. journal academic articles and reviews. No time limitation was selected.
The dataset is made up of 295 papers ranging from 1994 to May 2019. The analysis highlighted an annual percentage growth rate in the topic of co-production of about 25%. The articles retrieved are split between 1225 authors and 148 sources. This fragmentation was confirmed by the collaboration analysis, which revealed very few long-lasting collaborations. The scientific production is geographically polarised within the EU and Anglo-Saxon countries, with the United Kingdom playing a central role. The intellectual structure consists of three main areas: public administration and management, service management and knowledge translation literature. The co-word analysis confirms the relatively low scientific maturity of co-production applied to health services. It shows few well-developed and central terms, which refer to traditional areas of co-production (e.g. public health, social care), and some emerging themes related to social and health phenomena (e.g. the elderly and chronic diseases), the use of technologies, and the recent patient-centred approach to care (patient involvement/engagement).
The field is still far from being mature. Empirical practices, especially regarding co-delivery and co-management as well as the evaluation of their real impacts on providers and on patients are lacking and should be more widely investigated.
由于人口老龄化、慢性病发病率上升以及对公共服务提供的期望提高，医疗保健服务在降低成本的同时保持质量方面面临越来越大的压力。在文献和公共部门政策辩论中，利益相关者共同生产健康系统的重要性得到了广泛关注。本研究提供了现有文献的综合图谱，并确定了主要主题和未来研究需求。
进行了定量文献计量分析，包括绩效分析、科学图谱和科学合作分析。选择 Web of Science (WoS) 提取数据集；通过语言（即英语）和出版物类型（即学术期刊文章和评论）对搜索进行了细化。未选择时间限制。
数据集由 1994 年至 2019 年 5 月的 295 篇论文组成。分析结果表明，共同生产主题的年增长率约为 25%。检索到的文章分布在 1225 位作者和 148 个来源之间。这种分散性得到了合作分析的证实，合作分析显示很少有长期持久的合作。科学生产在欧盟和英裔国家内呈地理两极化，英国发挥着核心作用。知识结构由三个主要领域组成：公共行政和管理、服务管理和知识转化文献。共词分析证实了共同生产应用于卫生服务的相对较低的科学成熟度。它显示出很少有发达和核心的术语，这些术语指的是共同生产的传统领域（例如公共卫生、社会护理），以及一些与社会和健康现象（例如老年人和慢性病）、技术使用以及最近以患者为中心的护理（患者参与/参与）相关的新兴主题。
该领域仍远未成熟。缺乏关于共同提供和共同管理的经验实践，尤其是关于对提供者和患者实际影响的评估，应更广泛地进行调查。
