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A participatory systems approach to design for safer integrated medicine management.

Authors
  • Jun, Gyuchan Thomas1
  • Canham, Aneurin1
  • Altuna-Palacios, Ander1
  • Ward, James R2
  • Bhamra, Ran3
  • Rogers, Stephen4
  • Dutt, Amalin5
  • Shah, Priyal5
  • 1 a Loughborough Design School, Loughborough University , Loughborough , UK.
  • 2 b Engineering Design Centre, University of Cambridge , Cambridge , UK.
  • 3 c Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University , Loughborough , UK.
  • 4 d The Rise Group Practice , NHS Islington , London , UK.
  • 5 e Islington Clinical Commissioning Group , NHS Islington , London , UK.
Type
Published Article
Journal
Ergonomics
Publication Date
Jan 01, 2018
Volume
61
Issue
1
Pages
48–68
Identifiers
DOI: 10.1080/00140139.2017.1329939
PMID: 28506152
Source
Medline
Keywords
License
Unknown

Abstract

It is recognised that whole systems approaches are required in the design and development of complex health care services. Application of a systems approach benefits from the involvement of key stakeholders. However, participation in the context of community based health care is particularly challenging due to busy and geographically distributed stakeholders. This study used action research to investigate what processes and methods were needed to successfully employ a participatory systems approach. Three participatory workshops planned and facilitated by method experts were held with 30 representative stakeholders. Various methods were used with them and evaluated through an audit of workshop outputs and a qualitative questionnaire. Findings on the method application and participation are presented and methodological challenges are discussed with reference to further research. Practitioner Summary: This study provides practical insights on how to apply a participatory systems approach to complex health care service design. Various template-based methods for systems thinking and risk-based thinking were efficiently and effectively applied with stakeholders.

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