Various changes in health care systems like changing government’s role in financing, service ienprovision, changed regulation, new health doctrines, demographic changes (increased number of elderly people with chronic and other diseases and reduced functionality, reduced birth rate due to birth and infertility problems, increased number of divorces, chancing family structure, migration etc.), environmental changes, fast pace of life (which is closely linked with maximizing profits and focused on obtaining material goods), physical inactivity, substance abuse, unhealthy diets, etc they all have negative effect on lifestyles and health status of entire populations as well as individuals. This negative impact is causing a large increase in number of chronic or ‘non-communicable diseases’ In Slovenia including high blood pressure, cardiovascular diseases, tobacco addiction, high blood cholesterol, diabetes II, obesity, dementia, tobacco- and nutrition-induced cancers, chronic bronchitis, emphysema, renal failure, kidney disease, osteoporosis, osteoarthritis, etc. The Global Burden of Disease (WHO; 2005) reports that 52% of all deaths could be attributed to chronic diseases, and it is estimated that, that percentage is very similar in Europe. In the manner to ensure the prevention and management of chronic diseases and taking account of all above mentioned facts it is necessary to ensure conditions which will (1) allow individuals to coproduce and self-manage their health and healthy life style (2) reduce the health systems costs and overload and consequently and (3) provide personalised (capturing gender, age, job, social status dependent differences in health, behaviour and ability and access to handling of health management devices) but equal and democratic access to the health system services for all. The previous proposition is based on a premise that there is growing interest of citizen participation within all areas of public health and social care sector service development, and this movement is increasingly promoted as a significant strand of a post liberal policy concerned with re-imagining citizenship and more participatory forms of citizen/consumer engagement (Dunston, Lee, Boud, Brodie, Chiarelly, 2008). Additionally, Giddens (2003) describe co-production as a process of collaboration between the state and the citizen in the production of socially desirable outcomes. Before that Yeatman (1994, 1998) used the term co-production, in the context of her reviews of home and community care and disability services, as a way of reconceptualising the nature of human services and the contribution of all participants. Much of the thinking informing such an idea of co-production has been emerging as an approach to service and outcomes development that locates citizens (consumers) alongside traditional service providers as necessary, expert and generative co-participants and co-partners (Ostrom 1996; Alford 1998; Leadbeater 2004; Bovaird 2007).
The Idealist2018 project is funded by the European Commission under the Leading Industrial Enabling Technologies ICT theme, of Horizon2020 – Research & Innovation Framework Programme, under grant agreement no. 645216. Any opinions expressed in these pages are those of the author/organisation and do not necessarily reflect the views of the European Commission.