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HEALTHCARE SYSTEMS DESIGN: A SANDBOX OF CURRENT RESEARCH THEMES PRESENTED AT AN INTERNATIONAL MEETING

Published online by Cambridge University Press:  11 June 2020

N. Ciccone*
Affiliation:
DTU-Technical University of Denmark, Denmark
F. Patou
Affiliation:
DTU-Technical University of Denmark, Denmark
A. Komashie
Affiliation:
THIS.Institute, United Kingdom
G. Lame
Affiliation:
University of Cambridge, United Kingdom
P. J. Clarkson
Affiliation:
THIS.Institute, United Kingdom
A. M. Maier
Affiliation:
DTU-Technical University of Denmark, Denmark

Abstract

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Healthcare 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.

Type
Article
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
The Author(s), 2020. Published by Cambridge University Press

References

Akinluyi, E.A., Ison, K. and Clarkson, P.J. (2019), “Mapping outcomes in quality improvement and system design activities: the outcome identification loop and system impact model”, BMJ Open Quality, Vol. 3 No. 8, p. 439.Google Scholar
Borgue, O., Panarotto, M. and Isaksson, O. (2019), “Modular product design for additive manufacturing of satellite components: maximising product value using genetic algorithms”, Concurrent Engineering. https://doi.org/10.1177/1063293X19883421CrossRefGoogle Scholar
Braithwaite, J. (2018), “Changing how we think about healthcare improvement”, British Medical Journal, Vol. 361. https://doi.org/10.1136/bmj.k2014Google ScholarPubMed
Broberg, O. and Edwards, K. (2012), “User-driven innovation of an outpatient department”, Work, Vol. 41, pp. 101106. https://doi.org/10.3233/WOR-2012-0142-101CrossRefGoogle ScholarPubMed
Brown, M.M. and Brown, G.C. (2005), “Evidence-based to value-based medicine”, Amer Medical Assn.Google ScholarPubMed
Ciccone, N.W., Patou, F. and Maier, A.M. (2019), “Designing for better healthcare: A systemic approach utilising behavioural theory, technology and an understanding of healthcare delivery systems”, Proceedings of the Design Society: International Conference on Engineering Design, Vol. 1 No. 1, pp. 937946. https://doi.org/10.1017/dsi.2019.98Google Scholar
Clancy, T.R. and Delaney, C.W. (2005), “Complex Nursing Systems”, Journal of Nursing Management, Vol. 13 No. 3, pp. 192201. https://doi.org/10.1111/j.1365-2834.2004.00518.xCrossRefGoogle ScholarPubMed
Clarkson, P.J. (2018), “What has engineering design to say about healthcare improvement?”, Design Science, Vol. 4. https://doi.org/10.1017/dsj.2018.13Google Scholar
Cohn, S. et al. (2013), “Entangled complexity: why complex interventions are just not complicated enough”, J Health Serv Res Policy, Vol. 18 No. 1, pp. 4043. https://doi.org/10.1258/jhsrp.2012.012036CrossRefGoogle ScholarPubMed
Cutler, D.M. and McClellan, M. (2001), “Is technological change in medicine worth it?”, Health Affairs, Vol. 20 No. 5, pp. 1129. https://doi.org/10.1377/hlthaff.20.5.11Google Scholar
Cutler, D.M., Rosen, A.B. and Vijan, S. (2006), “The Value of Medical Spending in the United States”, New England Journal of Medicine, Vol. 355 No. 9, pp. 920927. https://doi.org/10.1056/NEJMsa054744CrossRefGoogle ScholarPubMed
Deininger, M. et al. (2015), “Novice designers’ use of prototypes in engineering”, Design Studies. https://doi.org/10.1016/j.destud.2017.04.002Google Scholar
Denton, F.T. and Spencer, B.G. (2010), “Chronic health conditions: changing prevalence in an aging population and some implications for the delivery of health care services”, Canadian Journal on Aging/La Revue canadienne du vieillissement, Vol. 29 No. 1, pp. 1121. https://doi.org/10.1017/S071498080999039CrossRefGoogle Scholar
Daalhuizen, J. et al. (2019), “An architecture of design doing: A framework for capturing the ever-evolving practice of design to drive organizational learning”, International Journal of Design, pp. 3752.Google Scholar
Eriksson, Y. and Fundin, A. (2018), “Visual management for a dynamic strategic change”, Journal of Organizational Change Management, pp. 712727. https://doi.org/10.1108/JOCM-05-2016-0103CrossRefGoogle Scholar
Fanjiang, G. et al. (2005), Building a better delivery system: a new engineering/health care partnership, National Academies Press. https://doi.org/10.1108/0-309-09643-XGoogle Scholar
Faurholt-Jepsen, M. et al. (2017), “Reducing the rate and duration of Re-ADMISsions among patients with unipolar disorder and bipolar disorder using smartphone-based monitoring and treatment -- the RADMIS trials: study protocol for two randomized controlled trials”, Trials, Vol. 277. https://doi.org/10.1186/s13063-017-2015-3Google Scholar
Feldman, A. (2019, May), How to design future healthcare using a systems approach, Retrieved from http://www.innovation.man.dtu.dk/english/research/engineering-systems/news/Nyhed?id={70643834-3FE5-4D9A-B944-DB9F139C450D}Google Scholar
Feldman, A. et al. (2019), “Listening Effort and Cognitive Decline: An Exploratory Study Using Pupillometry”, International Conference on Cognitive hearing science for communication.Google Scholar
Fidsa, G.Z. (2009), “Designing the future of healthcare”, Stud Health Technol Inform, Vol. 149, pp. 4957.Google ScholarPubMed
Ghebreyesus, T. A. (2017), Health is a fundamental human right. World Health Organization.Google Scholar
Greenhalgh, T. and Papoutsi, C. (2018), “Studying complexity in health services research: desperately seeking an overdue paradigm shift”, BMC Medicine. https://doi.org/10.1186/s12916-018-1089-4CrossRefGoogle ScholarPubMed
Hofmann, B. (2015), “Too much technology”, British Medical Journal, Vol. 350. https://doi.org/10.1136/bmj.h705CrossRefGoogle ScholarPubMed
Hood, L. and Friend, S.H. (2011), “Predictive, personalized, preventive, participatory (P4) cancer medicine”, Nature reviews, Vol. 184. https://doi.org/10.1038/nrclinonc.2010.227Google Scholar
Innes, A.D., Campion, P.D. and Griffiths, F.E. (2005), “Complex consultations and the ‘edge of chaos’”, BrJ General Practice, Vol. 55 No. 510, pp. 4752.Google ScholarPubMed
Jones, D. and Eckert, C. (2017), “Overdesign in building services: the hidden energy use”, 21st International Conference on Engineering Design.Google Scholar
Kannampallil, T.G. et al. (2011), “Considering complexity in healthcare systems”, Journal of biomedical informatics, pp. 943947. https://doi.org/10.1016/j.jbi.2011.06.006CrossRefGoogle ScholarPubMed
Kaya, G.K., Ward, J. and Clarkson, J. (2019), “A Review of Risk Matrices Used in Acute Hospitals in England”, Risk Analysis, pp. 10601070. https://doi.org/10.1111/risa.13221CrossRefGoogle ScholarPubMed
Komashie, A. et al. (2019), “Exploring Healthcare Systems Design Research and Practice: Outcomes of an International Meeting”, Proceedings of the Design Society: International Conference on Engineering Design, Vol. 1 No. 1, pp. 947956. https://doi.org/10.1017/dsi.2019.100Google Scholar
Ludden, G.D. and Hekkert, P. (2014), “Design for healthy behavior: design interventions and stages of change”, 9th International Conference on Design & Emotion, pp. 482488.Google Scholar
Nicolosi, F. et al. (2018), “Neurosurgical digital teaching in low-middle income countries: beyond the frontiers of traditional education”, Neurosurgical focus, No. 4, p. 45. https://doi.org/10.3171/2018.7.FOCUS18288Google ScholarPubMed
Niedderer, K. et al. (2014), “Creating sustainable innovation through design for behaviour change”, Summary report.Google Scholar
Pannunzio, V., Kleinsmann, M. and Snelders, D. (2019), “Three approaches to design engineering in the health domain: a systemic perspective”, Proceedings of the Design Society: International Conference on Engineering Design, pp. 10051014. https://doi.org/10.1017/dsi.2019.106CrossRefGoogle Scholar
Patou, F. and Maier, A. (2017), “Engineering value-effective healthcare solutions: A systems design perspective”, Proceedings of the 21st International Conference on Engineering Design (ICED 17), pp. 3140.Google Scholar
Phillips, C.J. and Nikolopoulos, K. (2019), “Forecast quality improvement with Action Research: A success story at PharmaCo”, International Journal of Forecasting. https://doi.org/10.1016/j.ijforecast.2018.02.005CrossRefGoogle Scholar
Plsek, P.E. and Greenhalgh, T. (2001), “Complexity science - the challenge of complexity in health care”, British Medical Journal, Vol. 323, pp. 625628. https://doi.org/10.1136/bmj.323.7313.625CrossRefGoogle ScholarPubMed
Shen, L. (2010), “Mitigating Psychological Reactance: The Role of Message-Induced Empathy in Persuasion”, Human Communication Research, pp. 397422. https://doi.org/10.1111/j.1468-2958.2010.01381.xCrossRefGoogle Scholar
Shiell, A., Hawe, P. and Gold, L. (2008), “Complex interventions or complex systems? Implications for health economic evaluation”, British Medical Journal, Vol. 336, pp. 12811283. https://doi.org/10.1136/bmj.39569.510521.ADCrossRefGoogle ScholarPubMed
Siiskonen, M. et al. (2019), “Decision Support for Re-designed Medicinal Products-Assessing consequences of a customizable product design on the value chain from a sustainability perspective”, Proceedings of the Design Society: International Conference on Engineering Design, pp. 867876. https://doi.org/10.1017/dsi.2019.91Google Scholar
Simsekler, M.E., Ward, J.R. and Clarkson, P.J. (2018), “Design for patient safety: a systems-based risk identification framework”, Ergonomics, Vol. 8 No. 61, pp. 10461064. https://doi.org/10.1080/00140139.2018.1437224CrossRefGoogle Scholar
Spillman, B.C. and Lubitz, J. (2000), “The Effect of Longevity on Spending for Acute and Long-Term Care”, New England Journal of Medicine, Vol. 342 No. 19, pp. 14091415. https://doi.org/10.1056/NEJM200005113421906CrossRefGoogle ScholarPubMed
Tako, A. et al. (2014), “Improving patient waiting times: a simulation study of an obesity care service”, BMJ Qual Saf, pp. 373381. https://doi.org/10.1016/j.dss.2011.11.015CrossRefGoogle ScholarPubMed
Tako, A. et al. (2019), “Evaluating community-based integrated health and social care services: The Simtegr8 approach”, Simulation for Risk Management, pp. 112.Google Scholar
THIS.Institue. (2018, December), blog.thisinstitute, Retrieved from THISInstitute Cambridge: https://blog.thisinstitute.cam.ac.uk/putting-pieces-together-healthcare-systems-designGoogle Scholar
Thorpe, J.R., Forchhammer, B.H. and Maier, A.M. (2019), “Development of a Sensor-Based Behavioral Monitoring Solution to Support Dementia Care”, JMIR mHealth and uHealth, No. 7, p. 120. https://doi.org/10.2196/12013Google ScholarPubMed
Thorpe, J.R. et al. (2016), “Pervasive assistive technology for people with dementia: a UCD case”, Healthcare technology letters, pp. 297302. https://doi.org/10.1049/htl.2016.0057CrossRefGoogle ScholarPubMed
Valentin-Hjorth, J.F. et al. (2018), “Design for health: towards collaborative care”, DESIGN2018-15th International Design Conference.10.21278/idc.2018.0506CrossRefGoogle Scholar
WHO. (2018), European Health Information Gateway: Total health expenditure as % of GDP. Retrieved from https://gateway.euro.who.int/en/indicators/hfa_566-6711-total-health-expenditure-asof-p/visualizations/#id=19661&tab=notesGoogle Scholar
Zhang, C. and Sebastiaan, M. (2019), “A Simulation Game of Patient Transportation”, In Ryoju Hamada;Songsri Soranastaporn; Hidehiko Kanegae; Pongchai Dumrongrojwatthana; Settachai Chaisanit; Paola Rizzi; Vinod Dumblekar. Neo-Simulation and Gaming Toward Active Learning, pp. 5366.10.1007/978-981-13-8039-6_5CrossRefGoogle Scholar