New development: managing the Covid-19 pandemic-from a hospital-centred model of care to a community co-production approach

Denita Cepiku, Filippo Giordano, Tony Bovaird, Elke Loeffler

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)


Covid-19 is not only a crisis of intensive care but a social and humanitarian crisis. Until mass vaccination is undertaken, control of contagion will rely on responsible behaviour by citizens. Strategies for fighting Covid-19 in different regions of Italy have shown that an area-specific approach, not just hospital-focused, pays off. This article proposes a community coproduction approach, in the light of discussions with politicians and key health decisionmakers and actors.
Preventing the spread of Covid-19 can mainly be achieved by social, not medical, means. Decision-makers should be aware that a strategy of relying only on the acute health system, placing a high burden on community-based public services, without any systematic attempt to co-ordinate or support the expansion of these services, is likely to fail. This article explains the benefits of a community co-production strategy.
Original languageEnglish
Number of pages5
JournalPublic Money and Management
Early online date21 Sep 2020
Publication statusE-pub ahead of print - 21 Sep 2020


  • community co-production,
  • community health
  • COVID-19
  • healthcare
  • regional strategy

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