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Healthy and Happy Citizens: The Opportunities and Challenges of Co-Producing Citizens’ Health and Well-Being in Vulnerable Neighborhoods

Author

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  • Carola Van Eijk

    (Public Administration, Leiden University, P.O. Box 13228, 2501 EE The Hague, The Netherlands)

  • Wilma Van der Vlegel-Brouwer

    (LUMC, Leiden University, P.O. Box 13228, 2501 EE The Hague, The Netherlands
    SevenSenses Institute, 3561 RT Utrecht, The Netherlands)

  • Jet Bussemaker

    (LUMC, Leiden University, P.O. Box 13228, 2501 EE The Hague, The Netherlands)

Abstract

This explorative study aims to contribute to the debate about citizen involvement in (complex) medical and social issues. Our research goals are: (1) to explore the main opportunities, threats and challenges to co-producing healthcare in vulnerable communities from the perspective of professionals, co-producers (i.e., citizens with a volunteering role) and service users (i.e., patients); (2) to distil lessons for public managers concerning the main issues involved in designing co-production initiatives. We studied co-production initiatives in the Dutch city, The Hague. These initiatives were part of a broader, unique movement named ‘Healthy and Happy The Hague’, which aims to change the way healthcare/social services are provided. Two intertwined research projects combine insights from interviews, focus group meetings and observations. The first project analyzed a variety of existing co-production initiatives in several neighborhoods; the second project involved longitudinal participatory action research on what stakeholders require to engage in co-production. The two research projects showed similarities and differences in the observed opportunities/treats/challenges. The study found that empowering citizens in their role as co-producers requires major changes in the professionals’ outlook and supporting role in the communities. It illustrates the potential of synergizing insights from healthcare governance and public administration co-production literature to benefit co-production practice.

Suggested Citation

  • Carola Van Eijk & Wilma Van der Vlegel-Brouwer & Jet Bussemaker, 2023. "Healthy and Happy Citizens: The Opportunities and Challenges of Co-Producing Citizens’ Health and Well-Being in Vulnerable Neighborhoods," Administrative Sciences, MDPI, vol. 13(2), pages 1-19, February.
    • Handle: RePEc:gam:jadmsc:v:13:y:2023:i:2:p:46-:d:1059916
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    References listed on IDEAS

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    1. B. Peters, 2010. "Bureaucracy and Democracy," Public Organization Review, Springer, vol. 10(3), pages 209-222, September.
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    Cited by:

    1. Ardesch, F.H. & Meulendijk, M.C. & Kist, J.M. & Vos, R.C. & Vos, H.M.M. & Kiefte-de Jong, J.C. & Spruit, M & Bruijnzeels, M.A. & Bussemaker, M.J. & Numans, M.E. & Struijs, J.N., 2023. "The introduction of a data-driven population health management approach in the Netherlands since 2019: The Extramural LUMC Academic Network data infrastructure," Health Policy, Elsevier, vol. 132(C).

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