Co-production--an approach to cardiac rehabilitation from a service management perspective.
OBJECTIVE
The aim of the study was to describe and analyse the hospital delivery system for patients recovering from myocardial infarction, applying the offering and value concepts from service management theory.


BACKGROUND
In Nordic hospital care patients traditionally played a minor role. But changes have taken place. By means of information giving and systematic education from the staff many chronically ill patients are now taking a significant part in their treatment and care.


METHODS
The method was a case study including 12 individual interviews.


CONCLUSIONS
The principal conclusion is that the short and intense periods of hospital inpatient stay make it advantageous to consider the patient a member of the health care team taking an active part in the caring process.
Edgren
L
L
Nordic School of Public Health, Göteborg, Sweden.
D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D019468:Disease Management; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology / Q000534:rehabilitation*; D019982:Organizational Case Studies; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000379:methods; D010358:Patient Participation; D015397:Program Evaluation; D011795:Surveys and Questionnaires