ArticleHealth expectations : an international journal of public participation in health care and health policy2022
Assessing the efficacy of coproduction to better understand the barriers to achieving sustainability in NHS chronic kidney services and create alternate pathways.
Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The trial behind it
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Who cites it
10 citing papers in PubMed.
- Development of 'Location of Dialysis Care in Kidney Life', a service delivery intervention to eliminate unwarranted variation in home dialysis uptake between kidney services and to optimise home dialysis use.BMC health services research · 2026Article
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- A review of reviews exploring patient and public involvement in population health research and development of tools containing best practice guidance.BMC public health · 2023Review
- Article
- The Future of Public Mental Health: Challenges and Opportunities.The Milbank quarterly · 2023Article
- The systems engineering approach to quality improvement in the NHS.Future healthcare journal · 2022Article
- Assessing the efficacy of coproduction to better understand the barriers to achieving sustainability in NHS chronic kidney services and create alternate pathways.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Understanding the low take-up of home-based dialysis through a shared decision-making lens: a qualitative study.BMJ open · 2021Article
- Cost elements to be considered in estimates for microcosting studies in peritoneal dialysis (PD) therapy in Latin America.Jornal brasileiro de nefrologiaArticle
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
contextToo many people living with chronic kidney disease are opting for and starting on hospital-based dialysis compared to a home-based kidney replacement therapy. Dialysis services are becoming financially unsustainable.
objectiveThis study aimed to assess the efficacy of coproductive research in chronic kidney disease service improvement to achieve greater sustainability.
designA 2-year coproductive service improvement study was conducted with multiple stakeholders with the specific intention of maximizing engagement with the national health kidney services, patients and public. SETTING AND
participantsA national health kidney service (3 health boards, 18 dialysis units), patients and families (n = 50), multidisciplinary teams including doctors, nurses, psychologists, social workers, and so forth (n = 68), kidney charities, independent dialysis service providers and wider social services were part of this study.
findingsCoproductive research identified underutilized resources (e.g., patients on home dialysis and social services) and their potential, highlighted unmet social care needs for patients and families and informed service redesign. Education packages were reimagined to support the home dialysis agenda including opportunities for wider service input. The impacts of one size fits all approaches to dialysis on specialist workforce skills were made clearer and also professional, patient and public perceptions of key sustainability policies. DISCUSSION AND
conclusionsPatient and key stakeholders mapped out new ways to link services to create more sustainable models of kidney health and social care. Maintaining principles of knowledge coproduction could help achieve financial sustainability and move towards more prudent adult chronic kidney disease services. PATIENT OR PUBLIC CONTRIBUTION: Involved in developing research questions, study design, management and conduct, interpretation of evidence and dissemination.
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Registered trials
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