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

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Integrating evidence-based design and experience-based approaches in healthcare service design. / Carr, Valerie; Sangiorgi, Daniela; Buscher, Monika et al.

In: HERD: Health Environments Research and Design Journal, Vol. 4, No. 4, 01.2011, p. 12-33.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Carr V, Sangiorgi D, Buscher M, Cooper R. Integrating evidence-based design and experience-based approaches in healthcare service design. HERD: Health Environments Research and Design Journal. 2011 Jan;4(4):12-33.

Author

Carr, Valerie ; Sangiorgi, Daniela ; Buscher, Monika et al. / Integrating evidence-based design and experience-based approaches in healthcare service design. In: HERD: Health Environments Research and Design Journal. 2011 ; Vol. 4, No. 4. pp. 12-33.

Bibtex

@article{981cf45e7e394dd88f117fcf6b110827,
title = "Integrating evidence-based design and experience-based approaches in healthcare service design",
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?",
keywords = "Evidence-based design , experience-based design , public services , primary care , patient engagement , service design , codesign",
author = "Valerie Carr and Daniela Sangiorgi and Monika Buscher and Rachel Cooper",
year = "2011",
month = jan,
language = "English",
volume = "4",
pages = "12--33",
journal = "HERD: Health Environments Research and Design Journal",
issn = "1937-5867",
publisher = "Vendome Group",
number = "4",

}

RIS

TY - JOUR

T1 - Integrating evidence-based design and experience-based approaches in healthcare service design

AU - Carr, Valerie

AU - Sangiorgi, Daniela

AU - Buscher, Monika

AU - Cooper, Rachel

PY - 2011/1

Y1 - 2011/1

N2 - 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?

AB - 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?

KW - Evidence-based design

KW - experience-based design

KW - public services

KW - primary care

KW - patient engagement

KW - service design

KW - codesign

M3 - Journal article

VL - 4

SP - 12

EP - 33

JO - HERD: Health Environments Research and Design Journal

JF - HERD: Health Environments Research and Design Journal

SN - 1937-5867

IS - 4

ER -