信息设计在减少对保健服务的依赖方面的作用

Mónica Santos, S. Dias
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摘要

对卫生服务的依赖和被动是由于仍然盛行的霸权模式、人口的文化水平不足、基于假设的卫生信息的构建、用户和卫生提供者之间缺乏互动背景,以及尽管现有的政府方案和措施与改变卫生服务从反应而不是预防的模式有关。人们仍然将医疗保健服务视为一种消费模式,而不是一种生活方式或目的。为了改变这种状况(减少人们对卫生保健服务和卫生保健提供者的依赖),除其他外,有必要向医院、卫生中心、药房等常规场所以外的人们提供健康信息,使其进入日常生活和日常活动,促进自主和行为改变。在卫生领域,知识潜伏在用户身上,被传统的服务提供方式所抑制,在这种方式中,专业人员仍然在很大程度上控制。信息的过剩并不意味着更多的知识。为了使知识有用和有效,公民有必要认同信息并关注该话题,但他们往往回避或拒绝它,主要有三个主要原因:它可能需要改变信仰,它可能要求采取不必要的行动,最后因为信息会引起不愉快的情绪或减少愉快的情绪。信息必须肯定个人和他所处的社会的身份,而不危及价值观和原则,它必须揭示行动如何产生影响,个人有能力做到这一点,最后显示如何将行动纳入日常生活。为此,应根据认知需要、文化水平、信仰、情感、社会和语言需要调整健康信息。然而,它们的设计没有考虑到公民的需求。信息设计和设计工具的整合特性在将关键利益相关者置于过程的中心以及构建具有强烈所有权和承诺意识的信息方面发挥着重要作用。通过这项研究,我们强调了发展涉及不同利益相关者的信息的价值,从公民到公共卫生组织,以深入和持续的方式实现创新的综合方法,并建立有利于公民自治的空间,减少与卫生服务和提供者相关的被动态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of Information design in reducing dependence on health services
The dependence and passivity on health services is due to the hegemonic model that stills prevail, inadequate literacy levels of the population, the construction of health messages based on assumptions, lack of interaction context between users and health providers, and despite existing government programs and measures related to changing health services from a model that reacts instead of prevent, people still see health care services as a consumption model instead of a way of life or a purpose. In order to change this situation (reduce people’s dependence on health care services and health care providers) it is necessary, among others things, to delivery health information to people outside the usual places like hospitals, health centers, pharmacy and others, to everyday life and routines, contributing to autonomy and behavior change. In health, knowledge is latent in users, dormant and suppressed by the traditional service delivery approach, in which professionals are still largely in control.The surplus of information doesn´t mean more knowledge. To make knowledge useful and effective, it is necessary for citizens to identify themselves with the information and be concerned about the topic, but often they avoid or reject it, mainly due three main reasons: it may require a change of belief, it may demande an unwanted action, and lastly because the information can cause unpleasant emotions or diminish pleasant emotions.The information must affirm the identity of the individual and the society in which he is included and not jeopardize values and principles, it must reveal how action make the difference and that the individual is capable of doing it, finally show how to incorporate actions into everyday life. To do so health messages should be adjusted to cognitive needs, to cultural level, to beliefs, to emotional, social and linguistic needs. However, they are designed without taking into account the needs of the citizen. Information design and the integrative character of design tools have a fundamental role placing key stakeholders in the center of the process and constructing messages with a strong sense of ownership and commitment. With this study we highlight the value of developing messages involving the different stakeholders, from the citizen to public health organizations, in a deep and continuous way enabling an innovative integrative approach and building spaces for favoring citizen autonomy and reducing the passive attitude related to health services and providers.
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