Caregivers’ engagement during in-hospital care of sABI’s patients: Evaluation of informal co-production from the health providers’ perspective

Maria Luisa Farnese*, Giovanna Girardi, Roberta Fida, Umberto Bivona, Michelangelo Bartolo, Antonio De Tanti, Domenico Intiso, Federico Scarponi, Gabriella Antonucci

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


One of the challenges of providing healthcare services is to enhance its value (for patients, staff and the service) by integrating the informal caregivers into the care process, both concretely managing their patient's health conditions and treatment (co-executing) and participating in the whole healthcare process (co-planning). This study aims at exploring the co-production contribution to the healthcare process, analysing whether and how it is related to higher caregivers’ satisfaction with service care and reduced staff burnout, in the eyes of the staff. It also investigated two possible factors supporting caregivers in their role of co-producers, namely relationship among staff and informal caregivers related to knowledge sharing (i.e. an ability determinant supporting co-production) and related to role social conflict (i.e. a willingness determinant reducing co-production). Results of a structural equation model on a sample of 119 healthcare providers employed by neurorehabilitation centers in Italy with severe acquired brain injury confirmed that knowledge sharing positively related with caregivers’ co-executing and co-planning. Also, social role conflict was negatively related with co-executing but positively with co-planning. Furthermore, co-planning resulted in being unrelated to both outcomes, whereas co-executing was associated with caregivers’ satisfaction, as measured by staff perceptions. Overall, our data provided initial empirical evidence supporting the ability of the determinant's contribution in allowing informal caregivers to assume an active role in both co-production domains. Furthermore, as expected, the role of conflict willingness determinant was found to be a hindering factor for co-executing but, conversely, a trigger for co-planning. This result should be considered more carefully in future studies.

Original languageEnglish
Pages (from-to)2086-2094
Number of pages9
JournalHealth and Social Care in the Community
Issue number6
Early online date2 Jun 2020
Publication statusPublished - 4 Oct 2020


  • acquired brain injury
  • co-production
  • health professionals
  • informal care


Dive into the research topics of 'Caregivers’ engagement during in-hospital care of sABI’s patients: Evaluation of informal co-production from the health providers’ perspective'. Together they form a unique fingerprint.

Cite this