title: The productive partnerships framework: harnessing health consumer knowledge and autonomy to create and predict successful rehabilitation outcomes.
abstract: OBJECTIVE
  This article examines the role of power distribution in partnerships between health consumers and professionals in determining successful desired outcomes, and the contributing role of consumer knowledge and autonomy. Recognition is given to the lack of practical tools, from both consumer and professional perspectives, to assist in the creation of productive partnerships.
  
  
  METHODS
  A conceptual analysis of the notions of consumer knowledge and autonomy in the context of outcomes, followed by the development of a prototype framework that aims to facilitate productive health partnerships.
  
  
  RESULTS
  The authors present prototype tools, which are shared between health consumer and professional, for identifying the strength of their cumulative power relative to their alignment to a common desired outcome (goal). The tools provide a choice of power contexts for the partnership to operate within, and a simple method for testing alignment to a common goal.
  
  
  CONCLUSIONS
  Increased health consumer knowledge and autonomy is associated with improved outcomes and these can in turn be influenced through productive health partnerships. The P2 framework is one approach to establishing robust working relationships between health professionals and consumers.
authors.affiliation: Burwood Academy of Independent Living, Burwood Hospital, Christchurch, New Zealand. JulianV@burwood.org.nz
authors.forename: Julian
authors.initials: J
authors.lastname: Verkaaik
authors.forename: K
authors.initials: K
authors.lastname: Anne Sinnott
authors.forename: Bernadette
authors.initials: B
authors.lastname: Cassidy
authors.forename: Claire
authors.initials: C
authors.lastname: Freeman
authors.forename: Tony
authors.initials: T
authors.lastname: Kunowski
mesh_terms: D006233:Persons with Disabilities / Q000534:rehabilitation*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010358:Patient Participation; D026684:Personal Autonomy; D011369:Professional-Patient Relations