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Integrating evidence-based design and experience-based approaches in healthcare service design

Carr, Valerie and Sangiorgi, Daniela and Buscher, Monika and Cooper, Rachel (2011) Integrating evidence-based design and experience-based approaches in healthcare service design. Health Environments Research & Design Journal, 4 (4). pp. 12-33. ISSN 1937-5867

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Abstract

Objective: To investigate the connections between, and respective contributions of, evidence-based and experience-based methods in the redesign of healthcare services. Background: Evidence-based medicine (EBM) preceded (and inspired) the development of evidence-based design (EBD) for healthcare facilities. A key feature of debate around EBM has been the question of interpretation of the guidance by experienced clinicians, to achieve maximum efficacy for individual patients. This interpretation and translation of guidelines-avoiding a formulaic approach, allowing for divergent cultural and geographical exigencies, creating innovative, context-specific solutions-is the subject of this discussion, which examines the potential for integration of evidence-based and experience-based approaches in the development of creative solutions to healthcare services in England. This paper examines Practice-Based Commissioning (PBC) in England, which devolves responsibility for commissioning new services for patients to frontline clinicians, relying on their understanding of patient needs at the local level. Methods: An 18-month project, funded by the Health and Care Infrastructure Research and Innovation Centre (HaCIRIC), examined PBC frameworks in England, investigating the impact of different models of governance on the development of service redesign proposals to answer the following questions: How do clinicians interpret the multiplicity of guidance from government agencies and translate this into knowledge that can be effectively used to redesign patient care pathways aligned with local healthcare priorities? How can understanding patient and staff “experiences” and key “touch points” of interaction with local healthcare services be used to provide a creative, customized solution to the design of healthcare services in a local, community-based framework?

Item Type: Article
Journal or Publication Title: Health Environments Research & Design Journal
Uncontrolled Keywords: Evidence-based design ; experience-based design ; public services ; primary care ; patient engagement ; service design ; codesign
Subjects:
Departments: Faculty of Arts & Social Sciences > Lancaster Institute for the Contemporary Arts
Faculty of Arts & Social Sciences > Sociology
ID Code: 50434
Deposited By: ep_importer_pure
Deposited On: 18 Oct 2011 13:08
Refereed?: Yes
Published?: Published
Last Modified: 09 Apr 2014 22:46
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/50434

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