Integrating Evidence-Based Design and Experience-Based Approaches in Healthcare Service Design

Valerie Carr · Daniela Sangiorgi · Monika Büscher · Sabine Junginger · Rachel Cooper

60 citations0/0 files storedHERD Health Environments Research & Design Journal

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Healthcare Facilities Design and Sustainability Health Services Management and Policy Healthcare Quality and Management

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?

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References

1982The Experiential Aspects of Consumption: Consumer Fantasies, Feelings, and Fun 1992Servicescapes: The Impact of Physical Surroundings on Customers and Employees 1995Emotional Intelligence: Why It Can Matter More Than IQ 2004Co-creation experiences: The next practice in value creation 1993River Magic: Extraordinary Experience and the Extended Service Encounter 2019Welcome to the experience economy 1985A Role Theory Perspective on Dyadic Interactions: The Service Encounter 1986The anthropology of experience

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