Senior Lecturer, University Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Professor Emeritus of Pediatrics, Geisel School of Medicine, Dartmouth College, New Hampshire, US Guest Professor, Quality Improvement and Leadership, Jönköping University, Jönköping, Sweden.
Healthc Pap. 2024 Jul;22(SP):59-63. doi: 10.12927/hcpap.2024.27366.
The COVID-19 pandemic magnified the cracks in healthcare performance. Dysfunctionalities and exhaustion appeared, but so did resilience and innovation. Examination of these cracks offers opportunities for learning and potential for new developments just as in the Japanese art of kintsugi, which is about building new objects from pieces of broken ceramic and mending the cracks. Engagement and partnership activities came under strain in Canada, as well - a pioneer in the field. Some were put on hold; others proved resilient and contributed to surmounting the challenges of the pandemic. Applying their Engagement-Capable Environments Framework, Kuluski and colleagues (2024) studied kintsugi in partnership activities in Canada during the pandemic. The resulting case studies exemplify the factors facilitating engagement and partnership during crisis. Through a lens of co-production that we see as a precondition for understanding and improving healthcare during a crisis and beyond, we challenge the results of the study, hoping to open new perspectives and advance engagement and partnership.
新冠疫情大流行凸显了医疗保健绩效的裂痕。功能失调和疲惫显现出来，但韧性和创新也出现了。审视这些裂痕为学习提供了机会，并为新的发展提供了潜力，就像日本的金缮艺术一样，金缮艺术是用碎陶瓷片来制作新的物品，并修复裂缝。加拿大作为该领域的先驱，参与和伙伴关系活动也受到了压力。有些活动被搁置；而其他活动则表现出了韧性，并有助于克服疫情带来的挑战。库卢斯基及其同事（2024 年）应用他们的“有能力的参与环境框架”，研究了疫情期间加拿大伙伴关系活动中的金缮艺术。由此产生的案例研究体现了促进危机期间和危机之外参与和伙伴关系的因素。通过我们视为理解和改善危机期间及之后医疗保健的前提的共同生产视角，我们对研究结果提出质疑，希望能开辟新的视角，促进参与和伙伴关系。
