scholarly journals HEALTHCARE SYSTEMS DESIGN: A SANDBOX OF CURRENT RESEARCH THEMES PRESENTED AT AN INTERNATIONAL MEETING

2020 ◽  
Vol 1 ◽  
pp. 1873-1882
Author(s):  
N. Ciccone ◽  
F. Patou ◽  
A. Komashie ◽  
G. Lame ◽  
P. J. Clarkson ◽  
...  

AbstractHealthcare systems are under strain, this creates a challenge for designers to develop solutions for better health and care delivery. This paper presents a sandbox of illustrative design themes used to improve health systems based on state of the art research projects. These were collated from presentations at The Second International Meeting on Healthcare Systems Design Research, held at DTU-Technical University of Denmark. Attending groups were mapped based on their research keywords, target journals and methodologies in order to gain insight on the communities research landscape.

Development of the informative classification scheme for information system artifacts would be highly useful for design researchers in focusing and organizing their research projects and identifying gaps. There have been few dated attempts at IS classification mostly focusing on intra-organizational systems. This chapter stresses the need for newer frameworks, which would accommodate for recent developments in IS from the design-type research perspective. The chapter outlines one possible approach, which incorporates individuals, groups, organizations and markets as possible components. Classification could span through the layers of the representational framework presented earlier to produce the families of meta-requirements and synthetic and technological meta-systems. Design research frontier helps in identifying possible developments from the existing meta-systems towards true future system forms. Along this path design researchers are expected to encounter phantom forms.


Author(s):  
Aidana ROWE ◽  
Michelle KNOX

Healthcare systems are faced with increasingly complex demands: ageing populations, chronic diseases, growing drug ineffectiveness, and access to comprehensive services are just a few of the challenges we face. Design offers methods, practices and processes to help address these rising complications. While design and health have a long history of working together, much of this work has been limited. In this paper, we make the case for further opportunities for design and health to work together in deep, innovative and human ways. We begin by discussing the transformative space of design, then we articulate the similarities between design and healthcare. We then present two health design research projects that employ design methods and processes within healthcare settings, exploring new opportunities for design and health to collaborate. We conclude by summarizing the benefits and challenges of these projects, articulating future possibilities for design and healthcare to collaborate.


Author(s):  
Nicholas W Ciccone ◽  
François Patou ◽  
Anja M Maier

AbstractAn ageing population leading to more chronic disease is straining healthcare systems. This paper makes two core contributions to healthcare systems design research: Firstly, a systemic techno-behavioural approach is presented to support intervention design with value-effective health outcomes. The systemic techno-behavioural perspective takes into consideration the interaction between three angles: The current healthcare system in place, the technological opportunities for addressing an issue and a broader and deeper understanding of the behaviour of those involved. The purpose of considering these three angels is to create interventions that are more robust. This will help inform healthcare systems design researchers and other stakeholders. Secondly, it is proposed that interventions should be grounded in behavioural theory, a collection of theories are presented to be incorporated in the design process of interventions. The systemic techno-behavioural approach is applied to dementia care highlighting the need to understand the dynamic relationship between the context of the current healthcare delivery system, technology, and behaviour to improve quality of care during the progression of the disease.


Author(s):  
Alexander Komashie ◽  
Guillaume Lame ◽  
Francois Patou ◽  
Nicholas Ciccone ◽  
Anja Maier ◽  
...  

AbstractCurrent healthcare delivery challenges are multi-faceted, requiring multiple perspectives to be addressed using a systems approach. However, a significant amount of healthcare systems design research work is carried out within single disciplines or at best a few disciplines working together. There appears to be little deliberate attempt to draw together a wide range of disciplines committed to working together to overcome differences and tackle some of the complex challenges in healthcare delivery. In this paper, we report on the initial outcomes of such an international initiative that, in the form of a workshop held at the University of Cambridge, brought together researchers and practitioners from a wide range of disciplines to explore the foundations of a community for Healthcare Systems Design Research and Practice.


2021 ◽  
Vol 1 ◽  
pp. 2941-2950
Author(s):  
Alexander Komashie ◽  
Saba Hinrichs-Krapels ◽  
P. John Clarkson

AbstractThe healthcare sector is facing significant challenges that require a systems approach, resulting in a rapid growth in the application of systems approaches in healthcare since the beginning of the 21st century. Consequently, healthcare practitioners and policymakers now desire to understand the evidence-base for the approach, but little evidence of the kind desired exists. This paper is a first step in conducting a narrative review of the application of systems approaches in healthcare based on a systematic review of the academic and grey literature. First, the emergence of the approach in healthcare is explored. Second, specific examples of applications of systems approaches in healthcare are examined to identify any missing elements in current practice. Third, fourteen reviews of the approach in healthcare published in the last ten years are analysed. The results suggest that the use of the approach in healthcare will most likely continue to increase, however, significant work remains for the design and systems community to demonstrate the effectiveness of systems approaches, specifically in providing convincing measures of impact on patient and service outcomes.


1974 ◽  
Vol 13 (03) ◽  
pp. 125-140 ◽  
Author(s):  
Ch. Mellner ◽  
H. Selajstder ◽  
J. Wolodakski

The paper gives a report on the Karolinska Hospital Information System in three parts.In part I, the information problems in health care delivery are discussed and the approach to systems design at the Karolinska Hospital is reported, contrasted, with the traditional approach.In part II, the data base and the data processing system, named T1—J 5, are described.In part III, the applications of the data base and the data processing system are illustrated by a broad description of the contents and rise of the patient data base at the Karolinska Hospital.


Author(s):  
Honghai LI ◽  
Jun CAI

The transformation of China's design innovation industry has highlighted the importance of design research. The design research process in practice can be regarded as the process of knowledge production. The design 3.0 mode based on knowledge production MODE2 has been shown in the Chinese design innovation industry. On this cognition, this paper establishes a map with two dimensions of how knowledge integration occurs in practice based design research, which are the design knowledge transfer and contextual transformation of design knowledge. We use this map to carry out the analysis of design research cases. Through the analysis, we define four typical practice based design research models from the viewpoint of knowledge integration. This method and the proposed model can provide a theoretical basis and a path for better management design research projects.


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