The complexity of leadership in coproduction practices: a guiding framework based on a systematic literature review

BMC Health Serv Res. 2024 Feb 17;24(1):219. doi: 10.1186/s12913-024-10549-4.

Abstract

Background: As coproduction in public services increases, understanding the role of leadership in this context is essential to the tasks of establishing relational partnerships and addressing power differentials among groups. The aims of this review are to explore models of coproduction leadership and the processes involved in leading coproduction as well as, based on that exploration, to develop a guiding framework for coproduction practices.

Methods: A systematic review that synthesizes the evidence reported by 73 papers related to coproduction of health and welfare.

Results: Despite the fact that models of coleadership and collective leadership exhibit a better fit with the relational character of coproduction, the majority of the articles included in this review employed a leader-centric underlying theory. The practice of coproduction leadership is a complex activity pertaining to interactions among people, encompassing nine essential practices: initiating, power-sharing, training, supporting, establishing trust, communicating, networking, orchestration, and implementation.

Conclusions: This paper proposes a novel framework for coproduction leadership practices based on a systematic review of the literature and a set of reflective questions. This framework aims to help coproduction leaders and participants understand the complexity, diversity, and flexibility of coproduction leadership and to challenge and enhance their capacity to collaborate effectively.

Keywords: Coproduction; Health and welfare; Leadership; Management.

Publication types

  • Systematic Review

MeSH terms

  • Humans
  • Leadership*