How was it for you? Experiences of participatory design in the UK health service
How was it for you? Experiences of participatory design in the UK health service
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DOI：
10.1080/15710882.2013.846384
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发表时间：
2013-12-01
影响因子：
1.8
通讯作者：
Dearden, Andy
中科院分区：
文献类型：
--
作者：
Bowen, Simon;McSeveny, Kerry;Dearden, Andy
改进协同设计方法意味着我们需要理解这些方法，不仅要关注方法选择对设计结果的影响，还要关注方法如何影响参与协同设计的人员。在本文中，我们探讨了参与者在为期一年的参与式健康服务设计项目中的经验，该项目旨在为老年人提供更好的门诊服务。该项目遵循一种称为基于体验的设计（EBD）的明确方法，该方法代表了英国国家卫生服务体系内参与式服务设计的最先进水平。项目参与者样本参加了半结构化访谈，反映了他们对项目的参与和感受。我们的研究结果表明，我们采用的 EBD 方法成功地在不同利益相关者群体（工作人员、患者、护理人员、倡导者和设计研究人员）之间建立了积极的工作关系，尽管整个项目中仍然存在冲突。参与者的经验突出了这种参与式设计中更广泛相关的问题：成本与收益、项目动力感、控制点以及关于如何在复杂环境中发生变化的假设。我们提出了处理这些问题的策略，为以用户为中心的医疗保健设计技术的未来发展提供信息。
Improving co-design methods implies that we need to understand those methods, paying attention to not only the effect of method choices on design outcomes, but also how methods affect the people involved in co-design. In this article, we explore participants' experiences from a year-long participatory health service design project to develop Better Outpatient Services for Older People'. The project followed a defined method called experience-based design (EBD), which represented the state of the art in participatory service design within the UK National Health Service. A sample of participants in the project took part in semi-structured interviews reflecting on their involvement in and their feelings about the project. Our findings suggest that the EBD method that we employed was successful in establishing positive working relationships among the different groups of stakeholders (staff, patients, carers, advocates and design researchers), although conflicts remained throughout the project. Participants' experiences highlighted issues of wider relevance in such participatory design: cost versus benefit, sense of project momentum, locus of control, and assumptions about how change takes place in a complex environment. We propose tactics for dealing with these issues that inform the future development of techniques in user-centred healthcare design.