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Towards effective and efficient participatory systems approaches to healthcare work system design

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conference contribution
posted on 2017-08-04, 12:41 authored by Aneurin Canham, Gyuchan Thomas JunGyuchan Thomas Jun, Andrew SelbyAndrew Selby
Context: The study is focused on patient and public involvement in the regional service development process in one county in the UK, with a wider scope provided through review of literature. Objectives: The research has two main objectives: firstly to investigate the current state of service user and staff participation in the regional health service development process in the UK; and secondly to critically analyse the level of participation and systems awareness in the participatory methods used. Methodology: A single case descriptive case study is used alongside a scoping review of relevant literature that follows a systematic approach. Main results: The case study explored a complex service development process with the main findings being: i) varied levels of collaboration between multiple organisations of commissioners, providers and user representatives; ii) incomplete information loops with an unclear structure of information flow from service user/staff into the development process and a lack of feedback on changes made to service users; iii) difficulties in representing the views of a diverse population of service users, compounded by some single issue focus amongst service development participants; iv) an engagement gap with staff for service development events. The literature review uncovered practical issues in the application of participatory approaches and a lack of application of systems methods and models in the most widely used participatory approaches. Conclusion: The review of literature and description of practice found a gap between the practical application of participatory approaches in healthcare system design and theory on systems approaches to healthcare. We propose it would be beneficial to bridge the gap between structured systems approaches to healthcare system design and the current efforts of participatory design occurring in practice.



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Healthcare Ergonomics and Patient Safety (HEPS2016)


CANHAM, A., JUN, G.T. and SELBY, A., 2016. Towards effective and efficient participatory systems approaches to healthcare work system design. Presented at: Healthcare and Society: New Challenges, New Opportunities. International Conference on Healthcare Systems Ergonomics and Patient Safety (HEPS 2016), Toulouse, France, 5th-7th October 2016.


© The 2016 Healthcare systems Ergonomics and Patient Safety Conference (HEPS 2016)


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This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

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Toulouse, France

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