Yes / People in the Global North often have a problem talking about — and processing — the inevitability of death. This can be because death and care of the dying has been professionalised, with encounters of death within our families and communities no longer being ‘normal and routine’ (Kellehear 2005). Young people are particularly excluded from these conversations, with implications for future mental health and wellbeing (Ainsley-Green 2017). Working in Wolverhampton and Bradford, the Dying 2 Talk (D2T) project aimed to build young people’s future resilience around this challenging topic. We recruited over 20 young people as project ambassadors to co-produce resources that would encourage talk about death, dying and bereavement. The resources were used as the basis of ‘Festivals of the Dead’ which were taken to schools to engage wider audiences of young people (aged 11 +). The project aimed to use alternative ‘ways in’ to open discussion, beginning with archaeology, and ultimately using gaming, dance, creative writing and other creative outputs to facilitate discussion, encourage compassionate relationships and build resilience. The resources succeeded in engaging young people from ages 11–19 years, facilitating a comfortable and supportive environment for these vital conversations. Project evaluations and observations revealed that the Festivals, and the activities co-created by the young ambassadors helped to facilitate spontaneous conversations about death, dying and bereavement amongst young people by providing a comfortable and supportive environment. The project was funded by the Arts and Humanities Research Council (AH/V008609/1), building on a pilot project funded by the Higher Education Innovation Fund at the University of Bradford. / The project was funded by the Arts and Humanities Research Council (AH/V008609/1), building on a pilot project funded by the Higher Education Innovation Fund at the University of Bradford.

A few select Swedish municipalities have recently introduced pilot projects of the Canadian Community Sponsorship integration policy, which is based on collaboration between civil society and the public sector in refugee reception. Departing from a framework of collaborative governance and policy mobility, this study aims to examine the collaboration between the public sector and civil society and the relationship between the community sponsorship project and policy mobility. Six semi-structured interviews with representatives of municipalities, civil society organisations and UNHCR served as a basis in answering how the project can be understood via policy mobility and how the cooperation takes shape, thereby contributing to the fields of cross-sector co-production and policy mobility. Results show that pre-existing relationships between civil society and municipalities have strengthened the collaboration. However, this collaboration blurs lines between new policies and existing practices - thus raising questions on the necessity of adopting this mobile policy. The study also suggests the legitimacy added by UNHCR as an explanation, whilst highlighting the mobility possibilities attributed to Länsstyrelsen. Recommendations include: providing physical meeting spaces, highlighting the uniqueness of the policy and looking into power dynamics to ameliorate the policy adaptation and enhance the mobility potential.

This diploma thesis focuses on the co-production of films in Czechoslovakia from 1945 to 1970. This neglected institute is described and partially analysed on the principle of the three levels of the legal regulation. The first stage are interstate cultural agreements and agreements of cultural cooperation. The most important is the co-production agreement and agreement of cooperation in the area of cinematography with France and Italy concluded in 1968. The second stage consists of the implementation plans and the framework conventions, which extend the provisions of interstate agreements. It is very difficult to trace these plans and conventions in unprocessed archive funds. So the enlisted information are rather fragmentary. The next stage is created by the specific co-production agreements. These agreements are basis for the co-production projects. The last section of the thesis contains several unrealised co-production projects that have not been created because of some political, economic and other disputes.

En 2005-6, le virus du chikungunya, transmis par les moustiques Aedes albopictus, touche 38% des habitants de La Réunion. Cette épidémie marque la fin de l'usage systématique des insecticides et la refonte des politiques de santé. Les pouvoirs publics enrôlent les citoyens et les moustiques dans l'élaboration de nouvelles frontières, matérielles et symboliques, entre les deux espèces. Cette thèse a pour objectif d'interroger les effets de ces changements de pratiques sur les rapports sociaux de pouvoir en contexte post-colonial, et sur les relations entre humains et moustiques. Pour saisir les dynamiques socio-naturelles à l'œuvre, une ethnographie combinatoire a permis d'observer les co-constructions de savoirs et de pratiques dans plusieurs espaces où s'organise la mise à distance des moustiques. Elle s'est appuyée sur le recueil de discours et l'observation de pratiques au sein du service de lutte contre les moustiques, au cœur d'une équipe de recherche sur la Technique de l'insecte stérile (visant à relâcher des moustiques stériles sur l'île) et auprès de non professionnels de la lutte. Une collecte d'articles de presse et d'archives a achevé de constituer le corpus de données. L'enjeu de cette thèse est de montrer que bien loin d'opérer une simple séparation entre humains et moustiques, les nouvelles pratiques de lutte ont intensifié leurs interactions. En parallèle, elle propose une réflexion sur les dynamiques liées à la coexistence de plusieurs systèmes interprétatifs, permettant d'appréhender – ou non – collectivement la prise en charge du risque épidémique. C'est l’occasion de réfléchir aux relations entre l'État, les scientifiques et les citoyens. / In 2005-6, the chikungunya virus, transmitted by the Aedes albopictus mosquito, affects 38% of the inhabitants of Reunion Island. This outbreak marks the end of the systematic use of insecticides and the consolidation of health policies. Public authorities enlist citizens and mosquitoes in the development of new frontiers, material and symbolic, between the two species. This thesis aims to examine the effects of these changes in practices on the social relations of power in post-colonial context, and the relationship between humans and mosquitoes.To apprehend the socio-natural dynamics at work, a combinatorial ethnography allowed to observe the co-construction of knowledge and practices in several areas where the distancing mosquitoes gets organized. It was based on the collection of speeches and observing practices in the vector control service, in the heart of a research team on the Sterile insect technique (to release sterile mosquitoes on the island) and from non-control professionals. A collection of articles and archives finalized to constitute the body of data.The aim of this thesis is to show that far from making a simple separation between humans and mosquitoes, new management practices have intensified their interactions. In parallel, it proposes a reflection on the dynamics associated with the coexistence of several interpretive systems, allowing to understand - or not - the collective management of epidemic risk. This is an opportunity to reflect on the relationship between the state, scientists and citizens

Det traditionella perspektivet i hälso- och sjukvården behöver förändras, från en levererad produkt till co-production mellan sjukvårdspersonal och patienter. Patienter som drabbas av en höftfraktur lider vanligen av hög smärta och innan transport till sjukhus krävs bedömning och smärtlindring av ambulanspersonal. Lokalt inom ambulanssjukvård är det däremot inte utvärderat om patienten är involverad i bedömning och behandling enligt co-production. Motsvarande är inte heller kvaliteten av den medicinska riktlinjen för höftfrakturer systematiskt utvärderad lokalt. Målet med detta förbättringsarbete var att mäta och öka journalförda smärtskattningar samt att möjliggöra en reviderad version av den medicinska riktlinjen med ökad kvalitet. Förbättringsåtgärder skapades utifrån hörnstensmodellen. En kvalitativ studie undersökte personalens uppfattningar av förbättringsarbetet för co-production i vården. Intervjuer med personal i fokusgrupper analyserades med en deskriptiv ansats och med ramverket co-production cycle. Resultatet visar på en signifikant ökning av journalförd smärtskattning och en ökad kvalitet av den medicinska riktlinjen. Studien visar på en motivation att fråga, snarare än att anta nivån av patienternas smärta. Slutsatsen är att det är möjligt att mäta medicinska riktlinjers kvalitet och därmed deras förbättring. Genom att visualisera det journalförda vårdarbetet, jämlikt hörnstensmodellen, skapas en motivation till förändring gentemot co-production i vården. / The traditional perspective of healthcare needs transformation, from a delivered product to a co-produced service between healthcare professionals and patients. When a patient sustains a hip fracture it is often characterized with severe pain and requires an ambulance for assessment and pain relief before transportation to a hospital. However, in context of the ambulance service it is not evaluated if the patient is involved and co-produces in the assessment and treatment. Neither is the quality of the medical guideline for treatment of hip fracture systematically evaluated in the local context. The aim of this improvement work was to measure and increase the documented pain assessment, as well to measure the quality of the medical guideline so it can be revised with an improved quality. Interventions was formed using the cornerstone model as a framework. A qualitative study was performed to analyse effects of the improvement work experienced by the personnel for co-producing care with patients. Focus groups interviews with the personnel was conducted using a descriptive approach and the co-production cycle as framework. The results show a significant increase in the documentation of the pain assessments and an increased quality in the medical guideline. The study shows a motivation to ask, rather than assume patient’s pain assessment. In conclusion it is possible to measure the quality of a medical guideline and therefore so is improvement. Visualising documented care to the personnel in accordance with the cornerstone model, creates a motivation for change towards co-producing care.

Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2019-03-13T12:57:26Z No. of bitstreams: 1 Caroline Lima de Almeida Costa_.pdf: 4088156 bytes, checksum: 936b3cc81524a77faacdbc4ee314dfb0 (MD5) / Made available in DSpace on 2019-03-13T12:57:26Z (GMT). No. of bitstreams: 1 Caroline Lima de Almeida Costa_.pdf: 4088156 bytes, checksum: 936b3cc81524a77faacdbc4ee314dfb0 (MD5) Previous issue date: 2018-12-13 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / PROSUP - Programa de Suporte à Pós-Gradução de Instituições de Ensino Particulares / A Coprodução em Serviços de Saúde e os processos a ela relacionados são temas ainda pouco pesquisados. Nos serviços de saúde, o paciente se torna um integrante do processo produtivo ao exercer a função de coprodutor, realizando a gestão do seu tratamento de forma autônoma. Nesta perspectiva, é preciso entender como os serviços e os profissionais de saúde gerenciam o uso de medicamentos no contexto específico de tratamentos de longo prazo, como no caso da Terapia Antineoplásica Oral (TAO), utilizada no tratamento do câncer. Este trabalho propôs um conjunto de ações com o objetivo de reduzir falhas no processo de gestão da coprodução em tratamentos com TAO no âmbito hospitalar. Para atender a este objetivo, foi elaborada uma estrutura conceitual, a partir de um levantamento bibliográfico que pesquisou os conceitos de Coprodução em Serviços, Falhas em Coprodução, Serviços de Saúde e TAO, e de uma revisão sistemática de literatura sobre os conceitos de Coprodução em Serviços de Saúde. A partir desta estrutura conceitual foram definidas as categorias de análise, utilizadas como base para a elaboração do instrumento de coleta de dados. Um questionário semiestruturado com questões abertas foi o instrumento de coleta utilizado nesta pesquisa, realizada a partir de uma abordagem qualitativa, adotando como método o estudo de caso. Este estudo de caso foi aplicado junto a um Serviço de Oncologia, situado em um hospital de grande porte, localizado no estado do Rio Grande do Sul. As entrevistas foram analisadas por meio técnica de análise de conteúdo, que tem por objetivo interpretar as características e os padrões que estão por trás do conteúdo das mensagens e documentos. Para dar suporte a análise de conteúdo, foi utilizado o software para análise de dados qualitativos Atlas.ti – versão 8.0. Com a consolidação dos dados, os achados da pesquisa foram comparados por meio da triangulação, envolvendo resultados, perspectivas ou teorias, pesquisadores ou métodos, como uma resposta a fidedignidade e a validade do estudo com os achados teóricos. Os resultados indicam que os processos de trabalho ainda não estão ordenados de modo a produzir o melhor resultado na entrega do serviço para os pacientes no contexto dos tratamentos com TAO. Assim, o conjunto de ações proposto sugere a adoção de procedimentos para a redução de falhas na gestão da coprodução no que diz respeito à abordagem integral do paciente, adequação a rotina de distribuição de medicamentos, educação para coprodução, gestão de demanda, gestão da coprodução, e otimização do fluxo de solicitação e autorização de medicamentos. / Coproduction in Health Services and related processes are still under-researched topics. In health services, the patient becomes an integral part of the productive process by performing the role of coproducer, performing the management of his treatment autonomously. In this perspective, it is necessary to understand how the services and the health professionals manage the use of drugs in the specific context of long-term treatments, as in the case of Oral Antineoplastic Therapy (TAO), used in the treatment of cancer. This work proposed a set of actions with the objective of reducing failures in the process of coproduction management in TAO treatments in the hospital setting. In order to meet this objective, a conceptual framework was developed, based on a bibliographical survey that investigated the concepts of Co-production in Services, Failures in Coproduction, Health Services and TAO, and a systematic literature review on the concepts of Co-production in Services of Health. From this conceptual framework, the categories of analysis were defined, used as basis for the elaboration of the instrument of data collection. A semistructured questionnaire with open questions was the collection tool used in this research, based on a qualitative approach, adopting the case study as a method. The case study was carried out with an Oncology Service, located in a large hospital, located in the state of Rio Grande do Sul. The interviews were analyzed through a content analysis technique, whose purpose is to interpret the characteristics and the standards behind the content of messages and documents. To support the analysis of the content, the software for qualitative data analysis Atlas.ti - version 8.0 was used. With the consolidation of data, the research findings were compared through triangulation, involving results, perspectives or theories, researchers or methods, as a response to reliability and the validity of the study with the theoretical findings. The results indicate that the work processes are still not ordered in order to produce the best result in the delivery of the service to the patients in the context of the TAO treatments. Thus, the proposed set of actions suggests the adoption of procedures to reduce failures in coproduction management with respect to the integral approach of the patient, adequacy to the routine of drug distribution, education for coproduction, demand management, coproduction management, and optimization of the flow of medication request and authorization.

Submitted by Maicon Juliano Schmidt (maicons) on 2015-07-13T18:55:39Z No. of bitstreams: 1 José Cássio Simfronio.pdf: 1220347 bytes, checksum: 399140633eb5d4c8930ffc117aa9be4f (MD5) / Made available in DSpace on 2015-07-13T18:55:39Z (GMT). No. of bitstreams: 1 José Cássio Simfronio.pdf: 1220347 bytes, checksum: 399140633eb5d4c8930ffc117aa9be4f (MD5) Previous issue date: 2012-06-26 / Nenhuma / Os números mostram que o setor de serviços aumentou consideravelmente a sua participação na economia mundial, e a tecnologia da informação, subsetor das organizações de serviços intensivos em conhecimento (KIBS) contribuiu muito para tal evolução. Essas organizações que possuem o conhecimento como matéria-prima promovem inovações em serviços, aumentando a competitividade dos clientes no mercado. O cliente passou a ser visto não só como um mero comprador de produtos e serviços, mas como fonte de conhecimento e expertise sobre o seu próprio negócio. Captar conhecimento e interagir com o cliente passaram a ser fundamentais para as empresas na busca da vantagem competitiva sustentável. A coprodução leva as organizações a cocriar valor e a estreitar os laços de negócios. Nesse sentido, a relação entre cliente-fornecedor é um fator de suma importância para a consolidação de uma parceria de longo prazo. O marketing de relacionamento passa a ser uma alternativa para combinar criação de valor e manutenção dos negócios entre organizações. Diante desse contexto, este estudo tem o objetivo de propor e testar um modelo teórico que analise as influências dos antecedentes na coprodução e o efeito dessa na inovação em serviços, no contexto Business-to-Business (B2B) nas empresas de tecnologia da informação. Assim, este trabalho examina os construtos, comprometimento, confiança e investimento no relacionamento, variáveis do marketing de relacionamento e a expertise do cliente como antecedentes da coprodução. Foi realizada uma pesquisa survey, com 250 empresas de Tecnologia da Informação do Estado do Rio Grande do Sul, com as respostas sob o ponto de vista do fornecedor. A técnica estatística utilizada foi a Modelagem de Equações Estruturais (MEE), por meio da qual se testou o modelo teórico. Os resultados mostraram que a coprodução influencia positivamente a inovação em serviços a um grau que depende da expertise do cliente e das variáveis do marketing de relacionamento. A variância explicada atingiu índices importantes, a confiança e o comprometimento explicaram 50% do construto comprometimento, enquanto o comprometimento e a expertise do cliente explicaram 57% da coprodução; já a coprodução explicou 30% da inovação em serviços. Por outro lado, a orientação para a inovação não apresentou efeito moderador na relação entre coprodução e inovação em serviços. Esta pesquisa contribui para a ampliação dos estudos sobre marketing de relacionamento e as suas influências na coprodução para a inovação em serviços. / The figures show that the service field has increased its participation in the world economy considerably, and information technology, a subsect or of intensive knowledge service businesses (KIBS), has contributed a lot for this evolution. These businesses, which hold the knowledge as raw material, promote innovations in services and increase the competitiveness of the client in the market. The client has been seen not only as a buyer of products and services, but also as a source of knowledge and expertise on its own business. Understanding and interacting with the customer has become fundamental for the companies in their search for competitive advantage. Co-production leads the companies to co-create value and narrow businesses relationships. Therefore, the relationship between the customer and the supplier is a major factor for the consolidation of a long-term relationship. Relationship marketing has become an alternative to combine value addition and business maintenance between organizations. In this context, this study aims to propose and to test a theoretical model that analyses the influences of previous co-production and its effect in service innovation, in the Business-to-business context (B2B), in information technology companies. This way, this study examines the building, the compromise, the confidence and the investment in the relationship, variables in the relationship marketing, and the clients’ expertise as priors to co-production. A survey research has been made with 250 information technology companies in the state of Rio Grande do Sul, and the answers were gotten according to the suppliers’ points of view. The statistic technique used was the Structural Equation Model (MEE) through which we have tested the theoretical model. The results have shown that co-production influences service innovation positively to a degree that depends on the client’s expertise, and relationship marketing variables. The explained variance has reached important indexes, confidence and commitment explained 50% of commitment, while compromise and knowledge of the customer explained 57% of co-production. Co-production explained 30% of service innovation. On the other hand, innovation orientation has not presented moderating effect in the relationship between co-production and service innovation. This research has contributed to the increase of the studies about relationship marketing and its effect on co-production for service innovation.

This study examines patient empowerment in two local diabetes branch organisations in Sweden. In particular, the study focuses on the organisations’ membership, participation and influence on external actors. The overall aim of this thesis is to explore patient empowerment in order to discern what influence patient organisations and individual members can have and how they use it. This study is based on both quantitative and qualitative empirical data. Interviews with active members from two local diabetes organisations were conducted and a survey was carried out to identify the members’ thoughts and feelings about their membership, motivations, participation and influence, as well as to examine their local organisation, its work and influence. The findings form an overall picture of how members experience their organisation, memberships and empowerment. Characteristics of the two local patient branch organisations were identified and the leaders were found to be intensely dedicated people. The interviews, survey and participant observations revealed the members’ opinions about their organisation, their reasons for joining, their involvement, participation and influence, as well as their understanding of the local organisation and the Swedish Diabetic Association (SDA) and their possibility to empower them. Without organisations, members felt that they could not have a significant influence on external actors and events.

Cette recherche a permis d'analyser deux points essentiels: le travail de mise en ordre des discours et la place occupée par le requérant d'asile dans cette opération de biographisation de l'exil. L'observation de la prise en charge et de l'accompagnement des demandeurs d'asile a permis de constater que dans le meilleur des cas, ils étaient suivis par des acteurs tiers-conseils, membres associatifs, juristes ou avocats, etc. L'aide qui leur est délivrée se préoccupe principalement de la réalisation de la requête dans l'objectif de la transmettre à l'administration; il s'agit là d'une forme de sous-traitance qui tait son nom. Un des premiers constats de cette recherche a été de comprendre comment la centralité de la crédibilité était construite par l'ensemble des acteurs intervenant dans le champ du droit d'asile. C'est ainsi que l'administration, les associations de soutien aux exilés, les professionnels du droit, les exilés eux-mêmes participent à une définition de la preuve pour peu à peu la délaisser car elle est très difficile à fournir, et donc se recentrer vers une approche plus facilement mobilisable, celle de la crédibilité. Il s'agit de prôner la force des discours, car le demandeur d'asile démuni de documents, d'attestations, ne peut démontrer du bien-fondé de sa requête que par le biais de ses paroles, qu'elles soient retranscrites à l'écrit ou simplement retransmises à l'oral via un interprète. Aussi pour les acteurs de l'accompagnement, il s'agit de travailler à un processus de légitimation des discours de l'exilé, d'organiser les propos de celui-ci de façon à les objectiver. Le travail de mise en ordre décrit dans cette thèse démontre de l'opération de rationalisation des discours incité par les exigences institutionnelles. Il s'agit à la fois de mettre de l'ordre dans les propos afin de permettre une lisibilité des discours et ainsi faciliter l'instruction. Mais les résultats de cette recherche reviennent également sur la place de l'exilé au coeur de cet agencement de la requête d'asile. Il s'agissait de décrypter si l'exilé réussit ou non à être acteur de sa propre requête, or l'étude réalisée montre qu'indéniablement la majorité des requérants d'asile sont démunis face à la procédure. La barrière de la langue, la faiblesse des capitaux scolaires, culturels, économiques et sociaux ne leur permettent pas de mobiliser les ressources suffisantes pour faire face aux exigences liées à la demande d'asile. Par ailleurs, le processus de subjectivation ne se contente pas de couvrir les compétences de l'exilé à s'inscrire dans une narration de soi, mais pose également la possibilité qui lui est ouverte de se construire une identité nouvelle dans le cadre de son parcours d'exil. Il s'agit de comprendre comment l'exilé réussit à endosser l'identité du requérant d'asile, puis du réfugié statutaire si celui-ci obtient la reconnaissance juridique / This dissertation provides a theoretical explanation of two key topics: the models which exist to deal with the petitioners for refugee status and the framework that manages the procedures linked to assesing the biography of the respondents. The investigation of the procedures linked to the petitions of asylum results showed that in the best case situations the respondents were monitored by the counsellors ,association members, jurists or lawyers, etc.The investigation showed help was mainly administered to achieve the goals linked to the adminstrative procedures.This represents a form of sub-contracting. One of the features of this disseration was to understand how the pillars of credibility was constructed by actors involved in the framework comprising the right to exile, explain the role and the model used by the respondents in the procedures of asylums to acquire proof in face of the difficulties encountered, and the methods used to overcome the challenges by strategies linked to credibility. This examination required extracting key points of the arguments as the petitioner often lacks the neccessary documents to validate their statements, as well as from the transcripts provided of their arguments in writing or orally by an interpreter.The anaylsis of the actors that govern the procedures sets out to consider whether the methods of operation are consistent with the institutional requirements. The results of the research suggests that the respondents are flustered when confronted with the procedures of asylum.Other key factors that play a role in the result are language barriers, financial conditions,cultures,economic and social means that influence the capacity to fulfil the demands to achieve the status of refugee.The results also suggests the process of examining oneself as the subject which leads to the petitioner constructing a new identity in the procedures to achieve a refugee status

Governments around the world have been increasingly adopting an ‘outcomes-focus’ in the design of policy and the management of public services, the implications of which have been subjected to increasing scrutiny within public administration (Boyne and Law 2005; Elvidge 2012; Heinrich 2002; Housden 2016; Lowe 2013; Lowe 2017; Wimbush 2011). Yet wherever an outcomes-based approach has been applied, be it within performance management (Bevan and Hood 2006; Lowe 2013; van Thiel and Leeuw 2002), budgeting (Perrin 2006; Ryan 2003), or commissioning, its achievements have fallen short of expectation (Wimbush 2011). Outcomes have predominantly been conceptualised and operationalised within what this thesis calls a ‘Rationalist’ approach, linked to the New Public Management context within which an outcomes-focus was popularised. This approach assumes we can understand the factors which drive outcomes, plan appropriate service interventions, harness the resources and commitment needed to put such interventions into practice, and manage such interventions towards their expected end points. Outcomes however are inherently complex phenomena – they are always transboundary, always co-produced by the individuals who experience them, and always impacted by a large number of unpredictable and uncontrollable factors in their external environment. Public management theory and practice finds itself at a crossroads: an imperative to improve outcomes, and a paradigmatic inability to do so – a challenge which scholarship is just beginning to respond to (Housden 2016; Lowe et al. 2016). This thesis contributes an alternative ‘Complex Systems’ theoretical framework which responds to (rather than simplifies or externalises) the inherent complexity which outcomes present. This theoretical framework draws on complex adaptive systems theory to enable a ‘Complex Systems’ approach to the management of outcomes. The framework is based on the conception of outcomes as emergent products of complex systems, and integrates three defining components of complex adaptive systems (self-organisation, distributed agentic learning, and attractor states) to enable an endogenous process of service transformation in conditions of uncertainty. This theoretical framework provides public management with more solid footing for understanding, analysing and designing outcomes-focussed interventions, with distinct advantages relative to existing outcomes-based approaches, in pursuing complex public service outcomes. The thesis applies this framework through a multiple embedded case study analysis (Yin 2009) of the Early Years Collaborative, a large-scale multi-agency Quality Improvement Collaborative operating across Scottish local authorities, as it seeks to improve a set of population-level child development outcomes.