Health expectations : an international journal of public participation in health care and health policy
Co-Creation for Health System Innovation: Developing a Model and an Action Plan for Future Primary Care in Switzerland
By Romanova A, Balthasar A, Oetterli M and 1 others.
Abstract
Introduction
Primary care in Switzerland faces a set of interrelated systemic challenges that exemplify a wicked problem. Addressing such complexity requires participatory approaches that integrate diverse perspectives and generate context-sensitive solutions. The project Health2040 engaged stakeholders in a co-creation process to co-design a future model of ambulatory primary care for Switzerland and an accompanying action plan to support its implementation.
Methods
The project employed a structured co-creation process, beginning with context exploration, evidence synthesis, and stakeholder consultations. Following the preparation phase, two co-design workshops with more than 50 stakeholders, including patients, healthcare professionals, government authorities, social care representatives, insurers, and researchers. The workshops combined customised participatory methods such as patient personas, visioning, system mapping through building blocks, fishbowl discussions, and the X-Curve.