Analysis of home hospice from a systemic design perspective

Yangqiu Zhao, W. Tang
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Abstract

This paper reframes the hospice service system from a systemic design perspective and considers it as an extreme case of the wicked problem in the healthcare field. Through literature review, we first derive the feasibility of using systemic design thinking to analyze and intervene in hospice services from a theoretical level. Then, a multi-case comparative analysis was conducted to identify the commonalities in existing service system models. Next, we further explore the correspondence between these commonalities and system design features to confirm the presence of systemic design in hospice service systems. Also, the highlights and omissions of the existing cases are analyzed under the lens of systemic design, providing a reference for subsequent related research and system construction.
从系统设计的角度分析居家安宁疗护
本文从系统设计的角度对临终关怀服务体系进行重构,并将其视为医疗领域邪恶问题的一个极端案例。通过文献回顾,我们首先从理论层面推导出运用系统设计思维对安宁疗护服务进行分析与干预的可行性。然后,通过多案例对比分析,找出现有服务系统模型的共性。接下来,我们进一步探讨这些共性与系统设计特征之间的对应关系,以确认系统设计在安宁疗护服务系统中的存在。并在系统设计的视角下分析现有案例的亮点和缺失,为后续相关研究和制度建设提供参考。
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