A generative co-design framework for healthcare innovation: development and application of an end-user engagement framework.
A generative co-design framework for healthcare innovation: development and application of an end-user engagement framework.
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医疗保健创新的生成式协同设计框架：最终用户参与框架的开发和应用。
DOI：
10.1186/s40900-021-00252-7
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发表时间：
2021-03-01
影响因子：
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通讯作者：
Carter N
中科院分区：
文献类型：
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作者：
Bird M;McGillion M;Chambers EM;Dix J;Fajardo CJ;Gilmour M;Levesque K;Lim A;Mierdel S;Ouellette C;Polanski AN;Reaume SV;Whitmore C;Carter N
背景卫生系统、产品和服务的持续改进对于改善健康是必要的。然而，这些改进中的许多并没有纳入日常实践。在设计新的医疗系统、产品和服务时，让医疗保健社区的成员和具有个人医疗经验的公众参与可以帮助确保改进将对其他类似的人有用和相关。方法我们与医护人员和有医疗经验的家属一起，制定并应用了一份循序渐进的指南，让有个人经验的人参与到卫生系统改进的设计中来。结果本指南分为三个阶段：前期设计、联合设计和后期设计。本文描述了这些阶段中的每个阶段，并说明了我们如何将它们应用到我们自己的项目中，该项目是使用虚拟医疗方法来改善对患有慢性病的儿童及其家庭的护理。在我们自己的工作中，我们发现具有个人医疗保健经验的医护人员和家庭成员能够利用他们的知识和创造力来帮助我们想象如何改善对患有慢性医疗保健疾病的儿童及其家人的护理。我们已经根据这些家庭成员和医护人员确定的需求创建了行动项目，我们将使用这些需求来塑造我们的虚拟医疗系统。结论这篇论文可能对那些寻求让医疗保健社区成员和公众参与创建更好的医疗保健系统、产品和服务的人有用。背景卫生创新的采用、规模和传播方面的挑战代表着从证据到实践周期中的重大差距。在卫生创新设计过程中，缺乏对最终用户需求的关注，以及随后为满足这些需求而量身定做的创新，可能是造成这一缺陷的一个原因。在卫生创新的创造性领域，包括卫生保健产品、系统(治理和组织机制)和服务(提供机制)的设计，需要一个框架，既征求最终用户的需求，又将这些需求转化为卫生创新的设计。方法为了解决这一差距，我们的团队开发并应用了一个七步方法框架，称为医疗保健创新的生成性共同设计框架。这个框架是由一个包括患者合作伙伴在内的跨学科团队开发的。结果这篇手稿为那些寻求让最终用户参与医疗创新创造性过程的人提供了一个框架和应用范例。通过“前期设计”、“共同设计”和“后期设计”阶段，我们能够利用终端用户的创造性洞察力，利用他们的经验来塑造未来的关怀状态。使用我们自己工作的说明性示例--DigiComp Kids项目，我们说明了框架的每个阶段的应用。结论：产生式医疗创新协同设计框架为医疗创新者、应用健康科学研究人员、临床医生和质量改进专家提供了一个指南，指导他们在提取医疗创新和设计的实际考虑因素的同时，引出并纳入最终用户的观点。网上版载有补充材料，可在10.1186/s40900-021-021-7查阅。
Background Continual improvements to health systems, products, and services are necessary for improvements in health. However, many of these improvements are not incorporated into everyday practice. When designing new health systems, products, and services, involving members of the healthcare community and the public with personal healthcare experience can help to make sure that improvements will be useful and relevant to others like them. Methods Together with healthcare workers and family members with healthcare experience, we developed and applied a step-by-step guide to involving those with personal experience in the design of health system improvements. Results Our guide has three phases— ‘Pre-Design’, ‘Co-Design’, and ‘Post-Design’. This paper describes each of these phases and illustrates how we applied them to our own project, which is to use virtual healthcare methods to improve care for children with chronic healthcare conditions and their families. In our own work, we found that healthcare workers and family members with personal healthcare experiences were able to use their knowledge and creativity to help us imagine how to improve care for children with chronic healthcare conditions and their families. We have created action items from these family member- and healthcare worker-identified needs, which we will use to shape our virtual healthcare system. Conclusions This paper may be useful for those seeking to involve members of the healthcare community and the public in the creation of better healthcare systems, products, and services. Background Challenges with the adoption, scale, and spread of health innovations represent significant gaps in the evidence-to-practice cycle. In the health innovation design process, a lack of attention paid to the needs of end-users, and subsequent tailoring of innovations to meet these needs, is a possible reason for this deficit. In the creative field of health innovation, which includes the design of healthcare products, systems (governance and organization mechanisms), and services (delivery mechanisms), a framework for both soliciting the needs of end-users and translating these needs into the design of health innovations is needed. Methods To address this gap, our team developed and applied a seven-step methodological framework, called A Generative Co-Design Framework for Healthcare Innovation. This framework was developed by an interdisciplinary team that included patient partners. Results This manuscript contributes a framework and applied exemplar for those seeking to engage end-users in the creative process of healthcare innovation. Through the stages of ‘Pre-Design’, ‘Co-Design’, and ‘Post-Design’, we were able to harness the creative insights of end-users, drawing on their experiences to shape a future state of care. Using an expository example of our own work, the DigiComp Kids project, we illustrate the application of each stage of the Framework. Conclusions A Generative Co-Design Framework for Healthcare Innovation provides healthcare innovators, applied health science researchers, clinicians, and quality improvement specialists with a guide to eliciting and incorporating the viewpoints of end-users while distilling practical considerations for healthcare innovation and design. The online version contains supplementary material available at 10.1186/s40900-021-00252-7.