Enhancing Patients' Capabilities To Coproduce Safe And Effective Care

This article seeks to understand the constructive dynamics of patients' capabilities in radiotherapy. In this study, "patients' capabilities" refers to what they are actually able to do in terms of safe and effective care. In particular, we highlight the conversion factors that promote or hinder the development of patients' capabilities, that is to say, the factors that enable their cooperation. The methodology combined observations of treatment sessions and interviews with radiotherapy professionals and patients. The main results highlight the key role that knowledge of risks associated with care, personnel motivation, trust relationships, encouragement and positive strengthening play in the development of patients' capabilities. In addition, they show how context and, more specifically, working conditions may impact the development of patients' capabilities and therefore caregiver-patient cooperation. The discussion focuses on the development of professionals' capabilities as the starting point and the condition for the development of patients' capabilities.