Co-design, organisational creativity and quality improvement in the healthcare sector: ‘Designerly’ or ‘design-like’?
- Submitting institution
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Glasgow School of Art
- Unit of assessment
- 32 - Art and Design: History, Practice and Theory
- Output identifier
- 5026
- Type
- C - Chapter in book
- DOI
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10.5040/9781474250160.ch-009
- Book title
- Designing for Service: Key Issues and New Directions
- Publisher
- Bloomsbury Academic
- ISBN
- 9781474250122
- Open access status
- Out of scope for open access requirements
- Month of publication
- February
- Year of publication
- 2017
- URL
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- Supplementary information
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- Request cross-referral to
- -
- Output has been delayed by COVID-19
- No
- COVID-19 affected output statement
- -
- Forensic science
- No
- Criminology
- No
- Interdisciplinary
- Yes
- Number of additional authors
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1
- Research group(s)
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-
- Proposed double-weighted
- No
- Reserve for an output with double weighting
- No
- Additional information
- This was a co-authored book chapter commissioned from the editors Sangiorgi and Prendiville as an outcome of both authors participating in their AHRC-funded Service Design Network. It represents a description and discussion of two approaches to healthcare ‘improvement’ through design approaches using a case study method. Robert is the originator and chief proponent of Experience-based Co-Design (EBCD), discussed in this chapter, and it is seen as a form of ‘designing-without-designers’ (‘design-like’) involving NHS staff and patients, which has seen significant adoption in health services in the UK and globally. Interestingly, this is a participatory action research approach that explicitly drew on design theory. Complementarily, Macdonald discusses his experiences of using a more ‘designerly’ approach through co-design, visualisation and iterative prototyping.
Both authors report on the use of their respective approaches to improve stroke rehabilitation services. The approach to, and outcomes of, this work were shared not only in this Gower publication but in a number of separate conference and seminar presentations. As a consequence of this work, Macdonald was invited to become a Co-I in the following two studies to develop the ‘designerly’ approach along with the EBCD (‘design-like’) approach to co-design for patient, family and staff engagement: CREATE: Collaborative Rehabilitation Environments in Acute sTrokE: using co-production to improve patient carer and staff experiences in health care organizations: a multi-centre, mixed methods evaluation in inpatient stroke units. Co-I (PI Jones, Kingston University) £683,505. 39 months, 2016-2019. National Institute of Health Research (NIHR) HS&DR - 13/114/95; and DA-VINCI: Developing a visual identification method for people with cognitive impairment in institutional settings. Co-I with partner organization Point of Care Foundation. (PI Martin, The Healthcare Improvement Studies Institute – THIS/Health Foundation). 2019-2021. (ongoing: paused due to COVID-19).
The authors made equal contributions to the writing and revision of this chapter.
- Author contribution statement
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- Non-English
- No
- English abstract
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