scholarly journals Exploring Healthcare Systems Design Research and Practice: Outcomes of an International Meeting

2019 ◽  
Vol 1 (1) ◽  
pp. 947-956
Author(s):  
Alexander Komashie ◽  
Guillaume Lame ◽  
Francois Patou ◽  
Nicholas Ciccone ◽  
Anja Maier ◽  
...  
Keyword(s):  
Design Research ◽  
Systems Approach ◽  
Research Work ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Systems ◽  
Multiple Perspectives ◽  
Research And Practice ◽  
Wide Range ◽  
Working Together

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.

scholarly journals Designing for Better Healthcare: A Systemic Approach Utilising Behavioural Theory, Technology and an Understanding of Healthcare Delivery Systems

2019 ◽  
Vol 1 (1) ◽  
pp. 937-946 ◽  
Author(s):  
Nicholas W Ciccone ◽  
François Patou ◽  
Anja M Maier
Keyword(s):  
Design Research ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Systems ◽  
Ageing Population ◽  
Healthcare Delivery System ◽  
Behavioural Approach ◽  
Behavioural Theory ◽  
Dynamic Relationship ◽  
Technological Opportunities

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.

scholarly journals Leveraging service design for healthcare transformation: toward people-centered, integrated, and technology-enabled healthcare systems

2020 ◽  
Vol 31 (5) ◽  
pp. 889-909 ◽  
Author(s):  
Lia Patrício ◽  
Daniela Sangiorgi ◽  
Dominik Mahr ◽  
Martina Čaić ◽  
Saleh Kalantari ◽  
...  
Keyword(s):  
Design Research ◽  
Systems Approach ◽  
Service Design ◽  
Healthcare Systems ◽  
Service Systems ◽  
Design Approach ◽  
Content Type ◽  
Centered Care ◽  
Conceptual Study ◽  
Healthcare Transformation

PurposeThis paper explores how service design can contribute to the evolution of health service systems, moving them toward people-centered, integrated and technology-enabled care; the paper develops a research agenda to leverage service design research for healthcare transformation.Design/methodology/approachThis conceptual study starts by analyzing healthcare challenges in terms of demographic trends and economic constraints, along with the problems of lack of people-centricity, dispersion of care and slowness in incorporating emerging technologies. Then, it examines the theoretical underpinnings of service design to develop a framework for exploring how a human-centered, transformative and service systems approach can contribute to addressing healthcare challenges, with illustrative cases of service design research in healthcare being given.FindingsThe proposed framework explores how a human-centered service design approach can leverage the potential of technology and advance healthcare systems toward people-centered care; how a transformative service design approach can go beyond explanatory research of healthcare phenomena to develop innovative solutions for healthcare change and wellbeing; and how a service systems perspective can address the complexity of healthcare systems, hence moving toward integrated care.Originality/valueThis paper systematizes and develops a framework for how service design can contribute to healthcare transformation. It identifies key healthcare application areas for future service design research and pathways for advancing service design in healthcare by using new interdisciplinary bridges, methodological developments and theoretical foundations.

A Multi-Tiered Perspective on Healthcare Interoperability

2013 ◽  
pp. 1-18 ◽  
Author(s):  
Craig Kuziemsky
Keyword(s):  
Collaborative Care ◽  
Clinical Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Services ◽  
Integrative Care ◽  
Multiple Perspectives ◽  
Integrated Healthcare

The current healthcare delivery paradigm is defined by integrative care delivery across disparate providers and services. Therefore the ability to deliver efficient and effective healthcare services is dependent on designing and implementing interoperable systems. However, the notion of interoperability is multifaceted and complex. Although the exchange of data is often described as analogous with interoperability it must be remembered that healthcare is a process oriented domain and clinical, management, organizational and other processes must be considered as part of interoperability. This chapter discusses healthcare delivery and the role interoperability plays in supporting its delivery. First, the chapter provides a background on healthcare interoperability from multiple perspectives. Then it presents a case study of collaborative care delivery and uses it to outline specific interoperability requirements. The chapter then uses these requirements to develop a multi-tiered framework of healthcare interoperability, concluding with a discussion of the implications of the framework for interoperability research and for systems design to support integrated healthcare delivery.

Reframing Healthcare

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Aidana ROWE ◽  
Michelle KNOX
Keyword(s):  
Chronic Diseases ◽  
Design Research ◽  
Healthcare Systems ◽  
Design Methods ◽  
Research Projects ◽  
Healthcare Settings ◽  
Working Together ◽  
History Of ◽  
Comprehensive Services ◽  
Ageing Populations

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.

The Design Construct in Information Systems Design Science

2012 ◽  
Vol 27 (2) ◽  
pp. 125-139 ◽  
Author(s):  
Judy McKay ◽  
Peter Marshall ◽  
Rudy Hirschheim
Keyword(s):  
Information Systems ◽  
Professional Practice ◽  
Design Research ◽  
Behavioral Science ◽  
Design Science ◽  
Systems Design ◽  
Design Knowledge ◽  
Research And Practice ◽  
Is Design ◽  
Oriented Research

This paper arose from concerns regarding the current conceptualizations of ‘design’ in the emerging literature on design science (DS) in information systems (IS). In this paper, we argue that current conceptualizations of design in IS are overly narrow, which necessarily limits what is viewed as acceptable DS research. In response we advance a more encompassing view of design. The revised view extends the current perspectives of design in the IS literature to embrace broader conceptualizations of design, which are evident in many intellectual communities outside IS where design is viewed as a critical component of both research and practice - such as management, engineering, architecture and others. In addition to the fairly common conceptualizations of design as product and design as process or action, design is also conceived as: intention; planning - including modeling and representation; communication; user experience; value; professional practice; and as service. Further, whereas the current conceptualization of design in IS views IS design knowledge as split across two paradigms, namely DS and behavioral science, in this paper we argue for a broader and more integrated view of design: one that emphasizes both the construction-centered and human-centered aspects of design in IS. Building from our broader view, we discuss some of the implications for design-oriented research in IS, and consider ways in which this human- centered perspective might impact on the context and content of design research in IS.

Postcrisis redevelopment of sustainable healthcare systems

2014 ◽  
Vol 9 (4) ◽  
pp. 247-258 ◽  
Author(s):  
Koren V. Kanadanian, MS ◽  
Constance K. Haan, MD, MS, MA
Keyword(s):  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Delivery Of Healthcare ◽  
Healthcare Delivery System ◽  
Community Stakeholders ◽  
Proposed Model ◽  
Successful Recovery ◽  
Primary Focus

Objective: Research and field experience have identified a global gap in postdisaster rebuilding of healthcare systems due to the current primary focus on returning devastated community infrastructures to predisaster conditions. Disasters, natural or man-made, present an opportunity for communities to rebuild, restructure, and redefine their predisaster states, creating more resilient and sustainable healthcare systems. Design: A model for sustainable postdisaster healthcare rebuilding was developed by bridging identified gaps in the literature on the processes of developing healthcare systems postdisaster and utilizing evidence from the literature on postdisaster community reconstruction.Results: The proposed model—the Sustainable Healthcare Redevelopment Model—is designed to guide communities through the process of recovery, and identifies four stages for rebuilding healthcare systems: (1) response, (2) recovery, (3) redevelopment, and (4) sustainable development. Implementing sustainable healthcare redevelopment involves a bottom-up approach, where community stakeholders have the ability to influence policy decisions. Relationships within internal government agencies and with public-private partnerships are necessary for successful recovery. Conclusion: The Sustainable Healthcare Redevelopment Model can serve as a guideline for delivery of healthcare services following disaster or conflict and use of crisis as a window of opportunity to improve the healthcare delivery system and incorporate resilience into the healthcare infrastructure.

A Call for Intersectional Healthcare Design Research

2020 ◽  
pp. 193758672096472
Author(s):  
Sophie Crocker
Keyword(s):  
Public Health ◽  
Patient Experience ◽  
Comparative Studies ◽  
Design Research ◽  
Healthcare Systems ◽  
Design Decisions ◽  
Healthcare Facilities ◽  
Healthcare Design ◽  
Cultural Contexts ◽  
Wide Range

The majority of patient experience research has been conducted in culturally Western contexts without controlling for cultural and demographic variation. Designers are left with little choice but to apply contextually specific and demographically neutral research to a wide range of healthcare systems, cultural contexts, and demographic conditions. It is possible that some research will transfer and generate the intended outcomes. However, it is likely much will not, and there is currently little way of knowing what does and does not work in environments outside of those where the study was conducted. Healthcare design research conducted in a variety of sociocultural conditions could help to ensure healthcare facilities are designed to best suit the sociodemographic needs of their users and support the wider public health ambitions of the health system. Health inequalities that exist within and between nations are well-known, and while the systems and structures that inform these inequalities are complex, it is likely design can play a role in ensuring these inequalities are not exacerbated by the environments in which care is provided. In other words, while healthcare designers may not be able to affect the geographies of inequality outside health facilities, they should endeavor to impact those within. It is critical that studies be repeated in a wide variety of conditions and that design decisions be openly published, shared, and discussed to create a discourse around methods, ethics, and comparative studies in the field of Intersectional Healthcare Design Research.

scholarly journals SYSTEMS APPROACHES TO HEALTHCARE SYSTEMS DESIGN AND CARE DELIVERY: AN OVERVIEW OF THE LITERATURE

2021 ◽  
Vol 1 ◽  
pp. 2941-2950
Author(s):  
Alexander Komashie ◽  
Saba Hinrichs-Krapels ◽  
P. John Clarkson
Keyword(s):  
Current Practice ◽  
Systems Approach ◽  
Care Delivery ◽  
Grey Literature ◽  
Systems Design ◽  
Evidence Base ◽  
Healthcare Systems ◽  
Healthcare Sector ◽  
Systems Approaches ◽  
Service Outcomes

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.

scholarly journals Information Systems Development Methodologies: A Review Through a Teleology Approach

2021 ◽  
Vol 2 (4) ◽  
pp. 373-383
Author(s):  
Helen Kavvadia
Keyword(s):  
Information Systems ◽  
Systems Analysis ◽  
Industrial Revolution ◽  
Systems Approach ◽  
Systems Design ◽  
Well Being ◽  
Analysis And Design ◽  
Systems Analysis And Design ◽  
Design Methodologies ◽  
Wide Range

The information systems analysis and design methodologies devised at the outbreak of the third industrial revolution shaped the systems analysis disciple and have trickled down to all systems influencing most aspects of human development. To cope with the explosion of digital technology, these methodologies had to be developed rapidly, drawing from a wide range of theoretical backgrounds, based mainly on the “hard” scientific method and the “softer” systems approach. In the run-up to industry 4.0, with multiple information systems emerging, reflection on systems’ design fundamentals is important. Intended to serve human activity and well-being, information systems are anthropocentric. Their success lies in their ability to serve human goals. Information systems analysis and design methodologies play a role in this by ensuring the best match between what is sought from systems and what they deliver in terms of the systems’ underlying final cause, or “telos”. The paper investigates the teleological orientation of four founding systems analysis and design methodologies. Using the Wood-Harper and Fitzgerald taxonomy in order to identify the conceptual origins of the four methodologies under review, it categorizes and subsequently incorporates them in an extended taxonomy, assesses whether and how they are devised to cater to the incorporation of goals and explains the inferred results based on the taxonomy. The paper posits that the founding information systems analysis and design methodologies do not have a marked teleological orientation and do not dispose of techniques for adequately incorporating systems’ goals. Doi: 10.28991/HIJ-2021-02-04-09 Full Text: PDF

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