Services: Service design in chronic health
Services: Service design in chronic health
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服务：慢性健康的服务设计
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
D. Wolstenholme
中科院分区：
文献类型：
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作者：
P. Chamberlain;Sue Mawson;D. Wolstenholme
在本章中，我们将探讨慢性健康或长期疾病所带来的具体挑战，以及角色设计在应对这些挑战时可能产生的影响。我们将通过描述长期条件对传统医疗保健提供方式的根本挑战以及卫生从业人员，专员，提供者和患者所需的自我保健模式转变来实现这一点。我们将通过两个案例研究来说明这一点，这两个案例研究反映了来自谢菲尔德哈勒姆大学的多学科研究团队的工作，Lab4Living和两个来自国家健康研究合作研究所的研究团队在应用健康研究和护理约克郡和亨伯，以用户为中心的医疗保健设计和远程医疗保健和护理技术。智能鞋项目是一个技术项目，在更大的社会科学健康服务研究方法中使用参与式方法，开发一个平台，支持人们在中风后成功进行康复。参与式设计的方法与定性和定量方法一起提供已证明临床影响的干预措施。为老年人提供更好的门诊服务项目采用了一种公认的以设计为主导的服务改进模式，即基于经验的设计，以了解一家大型教学医院门诊部工作人员和患者的经验。它使用叙事来识别患者旅程的情绪高潮和低谷，并将其映射到该旅程的“接触点”。然后，该团队促进共同设计小组，以解决共同的优先事项，以改善和实施和测试他们。在这些不同的项目中，贯穿着参与式设计理论和实践的主线。我们将通过反思设计在提供创新解决方案以满足当今和未来人口不断变化的需求方面的独特贡献来结束本章。
In this chapter, we will explore the specific challenges presented by chronic health or longterm conditions and the role design might have in responding to these challenges. We will do this by describing the fundamental challenge to the traditional ways of delivering healthcare posed by long-term conditions and the paradigm shift required by health practitioners, commissioners, providers and patients to one of self-care. We will illustrate this through two case studies, which reflect the work of multidisciplinary research teams from Sheffield Hallam University, Lab4Living and two research teams from the National Institute for Health Research Collaborations for Leadership in Applied Health Research and Care Yorkshire and Humber, User-centred Healthcare Design and Telehealth and Care Technologies. The Intelligent Shoe project is a technology project that used participatory methods in a larger social science health services research approach to develop a platform to support people to successfully undertake rehabilitation following a stroke. Methods from participatory design sat alongside qualitative and quantitative methods to deliver an intervention that has demonstrated clinical impact. The Better Outpatients Services for Older People project worked using a recognised model of design-led service improvement, experience-based design, to understand the experience of staff and patients of the medical outpatient department of a large teaching hospital. It used narrative to identify emotional highs and lows of the patient journey and mapped this to the 'touchpoints' of that journey. The team then facilitated co-design groups to address shared priorities for improvement and to implement and test them. Throughout these diverse projects there is the thread of participatory design theory and practice. We will close the chapter by reflecting on design's unique contribution to delivering innovative solutions to address the changing needs of today's and tomorrow's populations.