Position paper: On design research engaging with healthcare systems

This position paper intends to trigger a debate on the engagement of the design research community with healthcare systems. We analyse the specificities of healthcare systems design and of healthcare organisations. We discuss the focus on evaluation and the evidence-based paradigm in healthcare, and argue that design research currently is ill-prepared to meet such expectations. Dedicated research attention in healthcare seems necessary to bridge this gap. It could enrich design research through multidisciplinary collaborations, and enable design to make a precious contribution to healthcare

How useful is the Marginal Expected Shortfall for the measurement of systemic exposure? A practical assessment

We explore the practical relevance from a supervisor's perspective of a popular market-based indicator of the exposure of a financial institution to systemic risk, the marginal expected shortfall (MES). The MES of an institution can be defined as its expected equity loss when the market itself is in its left tail. We estimate the dynamic MES recently proposed by Brownlees and Engle (2011) for a panel of 65 large US banks over the last decade and a half. Running panel regressions of the MES on bank characteristics, we first find that the MES can be roughly rationalized in terms of standard balance sheet indicators of bank financial soundness and systemic importance. We then ask whether the cross section of the MES can help to identify ex ante, i.e. before a crisis unfolds, which institutions are the more likely to suffer the most severe losses ex post, i.e. once it has unfolded. Unfortunately, using the recent crisis as a natural experiment, we find that standard balance-sheet metrics like the tier one solvency ratio are better able than the MES to predict equity losses conditionally to a true crisis.MES, systemic risk, tail correlation, balance sheet ratios, panel.

When hot water freezes before cold

I suggest that the origin of the Mpemba effect (the freezing of hot water before cold) is freezing-point depression by solutes, either gaseous or solid, whose solubility decreases with increasing temperature so that they are removed when water is heated. They are concentrated ahead of the freezing front by zone refining in water that has not been heated, reduce the temperature of the freezing front, and thereby reduce the temperature gradient and heat flux, slowing the progress of the front. I present a simple calculation of this effect, and suggest experiments to test this hypothesis.Comment: 7 pages, 1 figur

Usage-driven problem design for radical innovation in healthcare

While the diffusion and evaluation of healthcare innovations receive a lot of attention, the early design stages are less studied and potential innovators lack methods to identify where new innovations are necessary and to propose concepts relevant to users. To change this, we propose a structured methodology, Radical Innovation Design (RID), which supports designers who want to work on the unstated needs of potential end users in order to create superior value. In this article, the first part of RID is introduced with its two subprocesses: Problem Design and Knowledge Design. In this first period, RID guides innovators to systematically explore users’ problems and evaluate which ones are most pressing in terms of innovation, taking into account existing solutions. The result is an ambition perimeter, composed of a set of value buckets, that is, important usage situations where major problems are experienced and the current solutions provide little or no relief. The methodology then moves on to Solution Design and Business Design (which are not detailed in this article) to address the value buckets identified. With its emphasis on problem exploration, RID differs from methods based on early prototyping. The RID methodology has been validated in various industrial sectors and is well-adapted for healthcare innovation. To exemplify the methodology, we present a case study in dental imagery performed by 10 students in 8 weeks. This example demonstrates how RID favours efficiency in Problem Design and allows designers to explore unaddressed and sometimes undeclared user needs.</jats:p

Adapting the fbs model of designing for usage-driven innovation processes

There has been rising interest in confronting formal models of design with practical design methods, in order to understand better both and to explore how they can improve each other. In this article, we try to map the Radical Innovation Design (RID) methodology in Gero’s Function-Behavior-Structure (FBS) framework. We encounter difficulties in doing so, and propose new constructs extending the FBS framework to account for some processes in RID. For instance, FBS is extended to describe the early stages of RID, where usages are analyzed to identify the appropriate situations and problems on which to innovate. We present a short practical case study to illustrate the relevance of these concepts. Our findings join those of others who have investigated the use of FBS to illustrate innovative projects, where requirements are unclear. We propose perspectives for future research, notably pursuing this work with the situated FBS framework.</jats:p