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Coproduction and cocreation in public care services: a systematic review

Teresa Sofia Amorim Lopes (School of Economics and Management, NIPE, University of Minho, Braga, Portugal)
Helena Alves (Department of Management and Business, NECE, University of Beira Interior, Covilhã, Portugal)

International Journal of Public Sector Management

ISSN: 0951-3558

Article publication date: 6 May 2020

Issue publication date: 22 June 2020




To analyze and discuss the research on the public healthcare services (PHCS) through the lenses of coproduction/creation by systematizing the antecedents, the process enablers and the outcomes of coproduction/creation in terms of organizational and individual/patients factors.


A systematic review was performed based on 46 papers found in ISI Web of Science and Scopus databases following the Prisma Protocol for the search.


The results show that antecedents of coproduction/creation are connected to organizational/institutional capabilities (e.g. codesign of services or trust development) or patient/individual factors (e.g. physical and mental capabilities). The process of coproduction/creation relates with enablers, such as interactive and dynamic relationships between public care service providers and users. Finally, outcomes have diverse nature, namely quality of life, compliance, behavioral intentions, among others.

Research limitations/implications

This study addresses the overlooked topic of coproduction/creation of value within PHCS. It contributes to public healthcare services literature wherein concepts of coproduction and cocreation of value are still on debate. It contributes to the transformative service research (TSR) by underlining that healthcare factors, processes and approaches may have a positive or negative (value codestructing) influence on the well-being. It yields crucial implications for PHCS.


It is the first attempt to systematize scientific knowledge on this topic, therefore conferring some novelty potential.



The first author is grateful to Fundação para a Ciência e a Tecnologia (FCT – Portugal) by providing support to the PhD program through national funding (SFRH/BD/135668/2018).Research funding: This research received no external funding. Disclosure statement: No potential conflict of interest was reported by the authors.


Amorim Lopes, T.S. and Alves, H. (2020), "Coproduction and cocreation in public care services: a systematic review", International Journal of Public Sector Management, Vol. 33 No. 5, pp. 561-578.



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