13 April 2026

In March 2026, Professor Adina Dudau of the University of Glasgow gave an invited paper at CenSE seminar. Professor Dudau is a leading researcher on public management globally.
People taking notes at seminar

The workshop was on ‘paradoxes of co-production: a study on co-assessment in healthcare’. The paper argued that public administration research has often romanticised the ‘co’ paradigm (co-design, co-production, co-assessment and value co-creation) in public services, though recent ‘dark side’ critiques have corrected this optimism. Still though the field lacks a nuanced account that holds together the ‘co’ paradigm’s benefits, harms, and the vast grey zone between the two. Consequently, this workshop asked ‘how can the tensions experienced by actors involved in co-production and co-creation be understood as manifestations of the overarching paradox between the bright and dark sides of co-production?’

Drawing on thematic analysis of semi-structured interviews with key-stakeholders in Italian healthcare co-assessment processes (public managers, employees, citizen associations’ representatives), the workshop explored paradoxical tensions within co-assessment, with implications for both theory and practice.