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Redesigning Healthcare (Book Review)

Cover of Design for CareA review of
Design for Care:
Innovating Healthcare Experience
by Peter H. Jones
Rosenfeld Media, 2013

If there is a “right” person to think about how to design the future of healthcare, it’s probably Peter Jones, associate professor at OCAD University in Toronto, Canada. I found his book by turns insightful, inspiring, and intimidating, though his attitude is always optimistic and his tone educational. It’s always about improving patients’ experiences, with plenty of case studies and tips on how to follow the design process. In fact, this book could be used as a text, and I personally would love to be able to take that course.

The book covers three huge areas of thinking:

  1. Rethinking Care. Until now, patients have often been passive, and healthcare professionals have been thinking about health case by case. Worse, the healthcare system itself is “glued together”—as anyone can attest who has tried to navigate from a generalist to a selection of appropriate specialists, deal with insurance and one or more hospitals sending conflicting bills, or assist an elderly family member with managing multiple conditions through the maze of regular care, hospitalization, long-term care, and, eventually, hospice. The whole situation creates an opportunity for design thinking to be applied to multiple challenging problems. Luckily, this is where design thinking excels.
  2. Rethinking Patients. Patients need to become active agents and decision makers about their own care. In short, when we are ailing, we need to become “Health Seekers” who consult “Dr. Google” before consulting a medical professional. Of course, to make good decisions most of us need additional training and tools to sort through and process the volume of information that we will find. To work with these retooled Health Seekers, the medical profession needs to understand the new paradigms, as do those who work with medical billings, and even those who will conduct the design research that will help us get to a solution.
  3. Rethinking Care Systems. I never realized that many aspects of hospital design have not changed in over 100 years. If you have been in a new hospital recently, however, you may have noticed that there are surprising changes—in more than just the medical equipment being used. Buildings and visiting policies are friendlier to patients and families, and physicians and caregivers are getting more and better education in how to work with empowered patients. This is a good start, but there is more to do—just ask any of us who have recently visited an emergency room.

Jones also advocates for systemic design in what he calls “Healthy IT.” This is especially important as we deal with the challenges of Electronic Medical Records, a patchwork of computer systems, increasing patient volume, and decreasing available funds.

I found the final chapter most inspiring and a little intimidating. Jones writes about the potential for improved healthcare through three lenses:

What can be accomplished in the near term? Can we get ourselves from the big box hospital model to community health centers? Designers working on these problems report a variety of issues to overcome, including structural and organizational issues. Organizations are not currently making solid use of design techniques, but there is some promising research being done by cross-functional teams in hospitals.

What are the critical healthcare problems that must be resolved in the mid-future? A recent investigation by a graduate class at OCAD identified several critical problems, ending with a “Whole Care Triage Funnel.” Following processes like these, we can identify the right problems to work on first, and understand their impact on related and secondary problems.

What does the longer-term forecast look like? Jones defines longer-term here as ten to twenty years or more. And he explains ways to structure the questions, rather than answers them in the book.

It’s been clear for some time that our healthcare systems themselves need care. We need to bring coherence and economies to a fragmented network with many types of practitioners and organizations. We need to help practitioners and empowered patients find their way through a huge influx of devices, medications, and confusing information. We need to use design thinking to apply lessons learned across the globe—and we will need some of the best design minds to get this done.

How can you participate? Read more at www.designforcare.com and at the practitioner hub www.caredesignnetwork.com.

Cover of Design for CareA review of
Design for Care:
Innovating Healthcare Experience
by Peter H. Jones
Rosenfeld Media, 2013

对 Peter H. Jones 的著作《Design for Care》(医疗保健设计)的评论。将设计思维应用于医疗保健体系。

Peter H. Jones 运用设计思维的框架,着手解决医疗保健领域的棘手问题:
• 如何改善病人的体验,使他们自己承担起“积极的健康追求者”这一新角色
• 如何收集证据,并基于证据通过设计来改善体系
• 如何改善医疗保健体系,将其带入 21 世纪
本文勾画了将来设计更好的医疗保健体系的途径。

文章全文为英文版

Cover of Design for CareA review of
Design for Care:
Innovating Healthcare Experience
by Peter H. Jones
Rosenfeld Media, 2013

Peter H. Jones의 Design for Care 논평. 의료 서비스 시스템에 디자인적 사고 적용.
Peter H. Jones는 디자인적 사고의 틀을 사용하여 의료 서비스의 문제점을 지적했습니다.
• 환자의 경험을 개선하고, 적극적인 건강 관리자로서의 새로운 역할을 수행하도록 지원할 방법
• 증거를 수집하고 증거를 바탕으로 디자인 별로 시스템을 개선하는 방법
• 치료 시스템을 개선하고 21세기에 맞게 개선하는 방법
본문의 내용은 미래의 더 나은 치료 시스템을 설계할 길을 열고 있습니다.

전체 기사는 영어로만 제공됩니다.

Cover of Design for CareA review of
Design for Care:
Innovating Healthcare Experience
by Peter H. Jones
Rosenfeld Media, 2013

Uma análise de Design for Care [Design para Cuidar] por Peter H. Jones. Aplicação do design thinking aos sistemas de assistência médica.

Usando a estrutura do design thinking, Peter H. Jones captura os terríveis problemas da assistência médica:
• Como melhorar as experiências dos pacientes e dar-lhes o poder de assumir seus novos papeis de pessoas ativas em busca de saúde .
• Como reunir evidências e melhorar o sistema projetando com base nas provas em evidências
• Como melhorar os sistemas de atendimento e levá-los ao século XXI

Este texto apresenta um caminho para o projeto de sistemas de atendimento na área de saúde melhores para o futuro.

O artigo completo está disponível somente em inglês.

Cover of Design for CareA review of
Design for Care:
Innovating Healthcare Experience
by Peter H. Jones
Rosenfeld Media, 2013

Peter H. Jones著『Design for Care』(治療のデザイン)の書評。医療システムに対するデザイン思考の適用。
Peter H. Jones氏は、デザイン思考の枠組みを活用し、医療分野における困難な問題に取り組んでいる。

• 患者の意識を改善し、自分たちは健康を積極的に求める者であるという新たな役割を担う力を与える方法
• エビデンスを収集し、エビデンスに基づくデザインによりシステムを向上する方法
• 医療システムを向上し、21世紀にふさわしいシステムにする方法
この記事では、将来に向け、より良い医療システムをデザインするための方法が示されている。

原文は英語だけになります

Cover of Design for CareA review of
Design for Care:
Innovating Healthcare Experience
by Peter H. Jones
Rosenfeld Media, 2013

Una reseña de Design for Care de Peter H. Jones. La aplicación del pensamiento de diseño a los sistemas de atención médica.
Utilizando la estructura del pensamiento del diseño, Peter H. Jones aborda los problemas más difíciles de la atención médica:

• Cómo mejorar las experiencias de los pacientes y facultarlos para aceptar sus nuevas funciones como solicitantes activos de salud
• Cómo reunir evidencia y mejorar el sistema diseñando en función de la evidencia
• Cómo mejorar los sistemas de atención y actualizarlos al siglo XXI
Este texto establece un camino para diseñar mejores sistemas de atención para el futuro.

La versión completa de este artículo está sólo disponible en inglés.