Outlining the role of experiential expertise in professional work in health care service co-production.

Patient and public involvement is widely thought to be important in the improvement of health care delivery and in health equity. The article examines the role of experiential knowledge in service co-production in order to develop opiate substitution treatment services (OST) for high-risk opioid users. Drawing on social representations theory and the concept of social identity, we explore how experts' by experience and registered nurses' understandings of OST contain discourses about the social representations, identity, and citizenship of the participants and the effects these may have on developing or hindering inclusive and bottom-up forms of patient and public involvement.

Organization of work in interaction between the paramedics and the patient.

The paper analyzes the ways in which the two paramedics organize their work activities in the courses of interaction with the patient. The paramedic-patient -interaction is generally based on question-answer -sequences where one paramedic asks a question to which the patient answers. The paper examines the organization of paramedics' institutional roles and responsibilities within these particular sequences of talk by conversation analytic means.