Holistic outcome-based approach towards sustainable healthcare: aligning the system purpose through system visualisation

Presentation at Relating Systems Thinking and Design (RSD7) in Turin Italy. Abstract: Various stakeholders in the complex healthcare systems often prioritise and pursue different purposes, values and outcomes. Understanding/sharing/negotiating the trade-offs between them is a critical action in the development and design of complex healthcare systems. Some approaches like work domain analysis or soft systems methodology attempted to map the complex interactions, but it remains unclear how those maps and visualisations are in line with how people conceptualise in practice. This study aims to explore how designers visualise complex system interactions using healthcare outcomes to define the purpose. A workshop was conducted with 23 designers to generate outcome-based visualisations. The results indicate that designers conceptualise the purpose of the healthcare systems in different ways. Complexity was expressed through organic circles and messy arrows. However, support elements are needed to conduct open visualisations. These results may play a role in developing a visualisation-based method to address the complexity of purpose definition in healthcare

The good, the bad and the ugly: Reflections on obtaining a PhD in Healthcare Systems Design amid the COVID-19 pandemic

This paper presents a reflection on the experience of obtaining a PhD degree in Participatory Healthcare Systems amid the COVID-19 pandemic. The paper first introduces the PhD research and how the methodology was adjusted during the pandemic. Then, the reflections are presented considering the benefits/advantages (the good), the barriers/difficulties (the bad) and the struggles (the ugly). The topics presented show that positive aspects were overshadowed by the emotional burdens and increasing limitations of data collection and study design. Learnings from this experience indicate that designing a more resilient methodology that integrates creative methods, supporting PhD students to pause the research, fostering a culture of care that rethinks what a successful PhD is, and a greater focus on the Mental Health of PhD students is advisable.</p

Healthcare systems design: A participatory outcome-based approach for multistakeholder negotiation

Healthcare systems design: A participatory outcome-based approach for multistakeholder negotiation</p

DesRes 2020. Loughborough Design Research Conference

DesRes is the Loughborough Design School annual conference.This document presents a compendium of the 2020 PhD postcards. Each PhD postcard was generated by School of Design and Creative Arts students to showcase the diversity of the research.All contributors have declared content to be copyright cleared.</div

Ergonomía y sistemas de salud en América Latina: En búsqueda del bienestar del personal de salud y la seguridad del paciente

Editorial.</p

Mapping healthcare systems: negotiating multiple outcomes (Handbook)

Participants' handbook used during the third study.Healthcare systems are dealing with an increasing diversity of needs from different stakeholders. These multiple needs trigger different outcomes that need to be addressed. This workshop will implement a visual method that allows participants to discuss/negotiate their views and map a shared vision that integrates their multiple outcomes, values and trade-offs.</div

Multiple outcome interactions in healthcare systems: a participatory outcome mapping approach

Outcomes, which are the result state or condition from a process or intervention, are essential elements of healthcare system design and an important indicator of performance. They are included in well-known system analysis frameworks such as the Systems Engineering Initiative for Patient Safety (SEIPS) and Cognitive Work Analysis (CWA). However, fewer practical approaches exist for understanding and communicating interactions among healthcare outcomes. This study applies a novel mapping method as a practical approach to collect, aggregate and visualise interrelations among multiple healthcare outcomes. Graphic facilitation mapping sessions with eleven healthcare providers and ten patients with chronic conditions were conducted. Participants created outcome interrelationship maps following a six-step process. Two outcome-based network visualisations were synthesised using network analysis. This outcomebased approach advances how we frame healthcare systems, focussing on accommodating multiple stakeholders’ visions, understanding interrelations, and defining trade-offs. This practical approach may complement frameworks such as SEIPS and CWA

Rethinking design for a complex world: the systems track

The chairs' editorial for the theme track 'Rethinking design for a complex world: the systems track'.</p

Design strategies for holistic outcome-driven healthcare service development

Initial presentation from the workshop conducted at the DRS2018 conference. Aims of the session: To explore how systems visualisations based in healthcare outcomes could trigger systems design approaches

Exploring the public’s perceptions of the process of using COVID-19 immunity certificates

The aim of this study was to explore the public’s perceptions about their experiences of the immunity certification process. Specifically, we aimed to address the following two research questions: 1. What is the perceived level of confidence in performing a series of actions/tasks for demonstrating proof of immunity? 2. What is the level of agreement with a series of statements relevant to operational issues about immunity certificates? We explored the aforementioned questions both for members of the public who had previous experience in the use of immunity certificates for international travel or domestic purposes, and those who while they had proof of immunity they did not have a chance to use their certificates. To address the aforementioned research questions we ran a UK-wide questionnaire survey. The questions of the survey were informed by the findings of a series of focus groups, participatory design workshops and interviews.</p