title: Value co-creation in healthcare through positive deviance.
abstract: OBJECTIVE
  To explore how converging fields of co-creation and positive deviance may increase value in healthcare.
  
  
  METHODS
  Informed by research in positive deviance, patient engagement, value co-creation, and quality improvement, we propose a positive deviance approach to co-creation of health.
  
  
  RESULTS
  Co-creation has shown to improve health outcomes with regard to multiple health conditions. Positive deviance has also shown to improve outcomes in multiple healthcare and patient community environments.
  
  
  CONCLUSIONS
  A positive deviance co-creation framework may aid in achieving improved outcomes for patients, care teams and their respective healthcare organizations.
authors.affiliation: Epsom Family Medicine, Leadership Preventive Medicine Resident, Dartmouth Hitchcock Medical Center, 250 Pleasant Street, Concord, NH 03301, Unites States. Electronic address: Cole.A.Zanetti.GR@Dartmouth.edu.
authors.forename: Cole Anthony
authors.initials: CA
authors.lastname: Zanetti
authors.affiliation: Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Australia. Electronic address: n.taylor@mq.edu.au.
authors.forename: Natalie
authors.initials: N
authors.lastname: Taylor
mesh_terms: D003695:Delivery of Health Care; D006801:Humans; D010348:Patient Care Team; D010361:Patients; D016730:Program Development; D058996:Quality Improvement; D011787:Quality of Health Care
keywords: Co-production; Patient engagement