医疗系统转型的服务设计:文献系统回顾。

IF 1.6 Q3 HEALTH POLICY & SERVICES
Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-08-08 DOI:10.1177/09514848231194846
Noe Vaz, Cláudia Affonso Silva Araujo
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引用次数: 0

摘要

人们对应用服务设计(SD)方法来创新和改造医疗保健系统的兴趣与日俱增。然而,全面的研究却很少。本研究系统地回顾了有关医疗保健系统转型的 SD 计划的文献。研究问题如下SD 方法是如何应用于医疗保健领域的?可持续发展倡议在多大程度上促进了医疗系统的转型?可持续发展倡议在医疗系统转型中面临的主要挑战是什么?在这一过程中,哪些是主要的利益相关者?2021 年 3 月,我们在八个数据库中进行了搜索,通过研究协议评估,共检索到 990 篇文章,最终有 47 项研究被纳入本综述。这些研究通过专题分析进行了探讨,并考虑了两个概念模型:可持续发展方法(Patrício 等人,2020 年)和生态系统视角(Beirão 等人,2017 年)。研究结果表明,可持续发展倡议已在生态系统的各个层面实施,但只有 49%(47/23 项研究)具有变革性。可持续发展倡议面临的挑战分为四个主题:(1)规划可持续发展倡议,将其作为卫生系统转型的杠杆;(2)创造性地使用可持续发展工具;(3)考虑使用新技术积极改造卫生系统;(4)面对在项目开发中应用基于体验的设计和基于体验的协同设计方法的挑战。这项研究有助于帮助管理者和研究人员努力设计真正具有变革性的服务,重点是改善卫生系统和社会福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Service design for the transformation of healthcare systems: A systematic review of literature.

There is a growing interest in applying the Service Design (SD) approach to innovate and transform healthcare systems. However, comprehensive studies are scarce. This study systematically reviews the literature on SD initiatives towards healthcare system transformation. The research questions are: How has the SD approach been applied to the healthcare sector? To what extent are the SD initiatives contributing to transform the health systems? What are the main challenges faced by SD initiatives to transform the health system? Which are the main stakeholders involved in the process, and how could they change according to the type of initiative? The search was conducted in March 2021 in eight databases and returned 990 articles evaluated through a research protocol, resulting in 47 studies included in this review. These studies were explored through thematic analysis and considering two conceptual models: the SD approach (Patrício et al., 2020) and the ecosystem perspective (Beirão et al., 2017). The findings show that SD initiatives have been implemented at all levels of the ecosystem, but only 49% (47/23 studies) present a transformative character. The SD initiatives challenges were organized into four themes: (1) Planning SD initiatives as a lever in transforming health systems; (2) Using SD tools creatively; (3) Considering the use of new technologies to transform health systems positively, and (4) Facing the challenges of applying the Experience-Based Design and Experience Based in Co-Design approaches in project development. This study is relevant for helping managers and researchers in their efforts to design truly transformative services with a focus on improving health systems and social wellbeing.

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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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