Experience based co-design in healthcare services: an analysis of projects barriers and enablers

Ramos, M.H.; Bowen, Simon; Wright, Peter; Ferreira, Marcelo Gitirana Gomes; Forcellini, Fernando Antônio

doi:10.1080/24735132.2020.1837508

Cited by 13 publications

(16 citation statements)

References 26 publications

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“…Constructed using video clips from Phase I interviews, the films reinforced the patient voice within the design process (Point of Care Foundation 2020 ; Ramos et al. 2020 ) and brought focus to key topics identified in the behavioural analysis, creating a candid portrait of current service provision.…”

Section: Methodsmentioning

confidence: 99%

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Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors

et al. 2022

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This article discusses how research to understand the oral care needs and experiences of stroke survivors was translated into a prototypical intervention. It addresses the challenge of how to develop service improvements in healthcare settings that are both person-centred, through the use of co-design, and also based on theory and evidence. A sequence of co-design workshops with stroke survivors, family carers, and with health and social care professionals, ran in parallel with an analysis of behavioural factors. This determined key actions which could improve mouthcare for this community and identified opportunities to integrate recognized behaviour-change techniques into the intervention. In this way, behaviour change theory, evidence from qualitative research, and experience-based co-design were effectively combined. The intervention proposed is predominantly a patient-facing resource, intended to support stroke survivors and their carers with mouth care, as they transition from hospital care to living at home. This addresses a gap in existing provision, as other published oral-care protocols for stroke are clinician-facing and concerned primarily with acute care (in the first days after a stroke). Although it draws on the experiences of a single design project, this study articulates a ‘working relationship’ between design practice methods and the application of behaviour change theory.

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Section: Methodsmentioning

confidence: 99%

“… 2019 ; Ramos et al. 2020 ). In the current study, EBCD workshops were facilitated by experienced designer-researchers, drawing on a range of creative design tools to facilitate the co-design workshops, in line with the ‘designerly’ approach to co-design described by Robert and Macdonald ( 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors

et al. 2022

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“…After screening the title and abstract of 6183 papers (excluding duplicates) for relevance to the subject, 131 papers were selected. A total of 67 articles [ 1 , 7 , 12 , 13 , 14 , 15 , 16 , 17 , 21 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , …”

Section: Methodsmentioning

confidence: 99%

Reframing Patient Experience Approaches and Methods to Achieve Patient-Centeredness in Healthcare: Scoping Review

Kim

Nam

Koo

2022

IJERPH

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(1) There has been growing attention among healthcare researchers on new and innovative methodologies for improving patient experience. This study reviewed the approaches and methods used in current patient experience research by applying the perspective of design thinking to discuss practical methodologies for a patient-centered approach and creative problem-solving. (2) A scoping review was performed to identify research trends in healthcare. A four-stage design thinking process (“Discover”, “Define”, “Develop”, and “Deliver”) and five themes (“User focus”, “Problem-framing”, “Visualization”, “Experimentation”, and “Diversity”), characterizing the concept, were used for the analysis framework. (3) After reviewing 67 studies, the current studies show that the iterative process of divergent and convergent thinking is lacking, which is a core concept of design thinking, and it is necessary to employ an integrative methodology to actively apply collaborative, multidisciplinary, and creative attributes for a specific and tangible solution. (4) For creative problem-solving to improve patient experience, we should explore the possibilities of various solutions by an iterative process of divergent and convergent thinking. A concrete and visualized solution should be sought through active user interactions from various fields. For this, a specific methodology that allows users to collaborate by applying the integrative viewpoint of design thinking should be introduced.

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“…Further details of both studies, PHC and EBCD, were previously published. 37,42 In order to detail and operationalise the model each stage of the model should answer the following questions 43 items a-c : (a) What is the stage? (b) What should be done?…”

Section: Methodsmentioning

confidence: 99%

Cyclical experience‐based design: A proposal for engaging stakeholders in a co‐creative model for primary health care service design

Ramos

Forcellini

Ferreira

et al. 2021

Health Planning & Management

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Healthcare services face difficulties in using structured methods for service design and having patient participation in such processes. There are few models on healthcare service design and even less focused on Primary Health Care (PHC) in the literature. Therefore, this paper contributes to this domain by presenting the proposal of a co-creative model to design PHC services. The proposed model was constructed based on the study of reference models in PHC and co-design. Plan-Do-Check-Act cycle and the Experience-Based Co-Design approach were used to structure the model. The resulting model contributes to (a) continuous improvement, (b) improvement analysis and registry, (c) identification and solution of PHC users' real needs, (d) community participation and empowerment, (e) creation of experience-focused and patient-centred services. The model's use of co-creation enables patients and PHC staff to understand each other's needs and challenges, and to create together appropriate solutions to their communities and act toward more satisfying services.

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Experience based co-design in healthcare services: an analysis of projects barriers and enablers

Cited by 13 publications

References 26 publications

Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors

Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors

Reframing Patient Experience Approaches and Methods to Achieve Patient-Centeredness in Healthcare: Scoping Review

Cyclical experience‐based design: A proposal for engaging stakeholders in a co‐creative model for primary health care service design

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