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.

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 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.

Healthcare Systems Design At a Crossroads

2013 ◽  
Vol 57 (1) ◽  
pp. 713-717 ◽  
Author(s):  
Shawna J. Perry ◽  
Hilary J. Mosher ◽  
Thomas J. Persoon ◽  
Ellen J. Bass ◽  
Rollin (Terry) J. Fairbanks ◽  
...  
Keyword(s):  
Systems Design ◽  
Healthcare Systems

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 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 ◽  
...  
Keyword(s):  
Design Research ◽  
State Of The Art ◽  
Care Delivery ◽  
Systems Design ◽  
Healthcare Systems ◽  
Research Projects ◽  
International Meeting ◽  
Research Themes ◽  
Art Research ◽  
Improve Health

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.

Toward Identifying Mild Cognitive Impairment in Hispanic and African American Adults

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris
Keyword(s):  
Older Adults ◽  
African American ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Healthcare Access ◽  
Communication Disorders ◽  
Healthcare Systems ◽  
Prevention Education ◽  
Education Management ◽  
African American Adults

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.

Dimensions of Information and Resource Flow in Healthcare Systems

2007 ◽  
Author(s):  
Karim Camille Boustany ◽  
Barrett S. Caldwell
Keyword(s):  
Healthcare Systems ◽  
Resource Flow
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