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Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County

INTRODUCTION: Increased interest in collaborative and inclusive approaches to healthcare improvement makes revisiting Elinor Ostrom’s ‘design principles’ for enabling collective management of common pool resources (CPR) in polycentric systems a timely endeavour. THEORY AND METHOD: Ostrom proposed a...

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Autores principales: Robert, Glenn, Williams, Oli, Lindenfalk, Bertil, Mendel, Peter, Davis, Lois M., Turner, Susan, Farmer, Cedric, Branch, Cheryl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879991/
https://www.ncbi.nlm.nih.gov/pubmed/33613139
http://dx.doi.org/10.5334/ijic.5569
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author Robert, Glenn
Williams, Oli
Lindenfalk, Bertil
Mendel, Peter
Davis, Lois M.
Turner, Susan
Farmer, Cedric
Branch, Cheryl
author_facet Robert, Glenn
Williams, Oli
Lindenfalk, Bertil
Mendel, Peter
Davis, Lois M.
Turner, Susan
Farmer, Cedric
Branch, Cheryl
author_sort Robert, Glenn
collection PubMed
description INTRODUCTION: Increased interest in collaborative and inclusive approaches to healthcare improvement makes revisiting Elinor Ostrom’s ‘design principles’ for enabling collective management of common pool resources (CPR) in polycentric systems a timely endeavour. THEORY AND METHOD: Ostrom proposed a generalisable set of eight core design principles for the efficacy of groups. To consider the utility of Ostrom’s principles for the planning, delivery, and evaluation of future health(care) improvement we retrospectively apply them to a recent co-design project. RESULTS: Three distinct aspects of co-design were identified through consideration of the principles. These related to: (1) understanding and mapping the system (2) upholding democratic values and (3) regulating participation. Within these aspects four of Ostrom’s eight principles were inherently observed. Consideration of the remaining four principles could have enhanced the systemic impact of the co-design process. DISCUSSION: Reconceptualising co-design through the lens of CPR offers new insights into the successful system-wide application of such approaches for the purpose of health(care) improvement. CONCLUSION: The eight design principles – and the relationships between them – form a heuristic that can support the planning, delivery, and evaluation of future healthcare improvement projects adopting co-design. They may help to address questions of how to scale up and embed such approaches as self-sustaining in wider systems.
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spelling pubmed-78799912021-02-18 Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County Robert, Glenn Williams, Oli Lindenfalk, Bertil Mendel, Peter Davis, Lois M. Turner, Susan Farmer, Cedric Branch, Cheryl Int J Integr Care Research and Theory INTRODUCTION: Increased interest in collaborative and inclusive approaches to healthcare improvement makes revisiting Elinor Ostrom’s ‘design principles’ for enabling collective management of common pool resources (CPR) in polycentric systems a timely endeavour. THEORY AND METHOD: Ostrom proposed a generalisable set of eight core design principles for the efficacy of groups. To consider the utility of Ostrom’s principles for the planning, delivery, and evaluation of future health(care) improvement we retrospectively apply them to a recent co-design project. RESULTS: Three distinct aspects of co-design were identified through consideration of the principles. These related to: (1) understanding and mapping the system (2) upholding democratic values and (3) regulating participation. Within these aspects four of Ostrom’s eight principles were inherently observed. Consideration of the remaining four principles could have enhanced the systemic impact of the co-design process. DISCUSSION: Reconceptualising co-design through the lens of CPR offers new insights into the successful system-wide application of such approaches for the purpose of health(care) improvement. CONCLUSION: The eight design principles – and the relationships between them – form a heuristic that can support the planning, delivery, and evaluation of future healthcare improvement projects adopting co-design. They may help to address questions of how to scale up and embed such approaches as self-sustaining in wider systems. Ubiquity Press 2021-02-12 /pmc/articles/PMC7879991/ /pubmed/33613139 http://dx.doi.org/10.5334/ijic.5569 Text en Copyright: © 2021 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
Robert, Glenn
Williams, Oli
Lindenfalk, Bertil
Mendel, Peter
Davis, Lois M.
Turner, Susan
Farmer, Cedric
Branch, Cheryl
Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
title Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
title_full Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
title_fullStr Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
title_full_unstemmed Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
title_short Applying Elinor Ostrom’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
title_sort applying elinor ostrom’s design principles to guide co-design in health(care) improvement: a case study with citizens returning to the community from jail in los angeles county
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879991/
https://www.ncbi.nlm.nih.gov/pubmed/33613139
http://dx.doi.org/10.5334/ijic.5569
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