Cunningham Charles E, Niccols Alison, Rimas Heather, Robicheau Randi, Anderson Colleen, DeVries Bart
1 Faculty of Health Sciences, Department of Psychiatry and Behavioural Neurosciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
2 Child and Youth Developmental and Rehabilitation Health, Ron Joyce Children's Health Centre, Hamilton, Ontario, Canada.
HERD. 2017 Oct;10(5):12-27. doi: 10.1177/1937586716686350. Epub 2017 Jan 10.
To engage users in the design of a regional child and youth health center.
The perspective of users should be an integral component of a patient-centered, evidence-based approach to the design of health facilities.
We conducted a discrete choice conjoint experiment (DCE), a method from marketing research and health economics, as a component of a strategy to engage users in the preconstruction planning process. A sample of 467 participants (290 staff and 177 clients or community stakeholders) completed the DCE.
Latent class analysis identified three segments with different design preferences. A group we termed an enhanced design (57%) segment preferred a fully featured facility with personal contacts at the start of visits (in-person check-in, personal waiting room notification, volunteer-assisted wayfinding, and visible security), a family resource center with a health librarian, and an outdoor playground equipped with covered heated pathways. The self-guided design segment (11%), in contrast, preferred a design allowing a more independent use of the facility (e.g., self-check-in at computer kiosks, color-coded wayfinding, and a self-guided family resource center). Designs affording privacy and personal contact with staff were important to the private design segment (32%). The theme and decor of the building was less important than interactive features and personal contacts.
A DCE allowed us to engage users in the planning process by estimating the value of individual design elements, identifying segments with differing views, informing decisions regarding design trade-offs, and simulating user response to design options.
让用户参与地区儿童和青少年健康中心的设计。
用户的观点应是以患者为中心、基于证据的卫生设施设计方法的一个组成部分。
我们开展了一项离散选择联合实验（DCE），这是一种来自市场研究和卫生经济学的方法，作为让用户参与建设前规划过程的战略的一部分。467名参与者（290名工作人员以及177名客户或社区利益相关者）完成了DCE。
潜在类别分析确定了具有不同设计偏好的三个细分群体。我们称为增强设计（57%）细分群体的一组人更喜欢功能齐全的设施，在就诊开始时有个人接触（亲自登记、个人候诊室通知、志愿者协助的导向标识以及可见的安保措施）、设有健康图书馆员的家庭资源中心以及配备有有顶加热通道的户外游乐场。相比之下，自助设计细分群体（11%）更喜欢一种允许更独立使用设施的设计（例如，在电脑亭自助登记、颜色编码的导向标识以及自助式家庭资源中心）。提供隐私以及与工作人员个人接触的设计对私密设计细分群体（32%）很重要。建筑的主题和装饰不如互动功能和个人接触重要。
一项DCE使我们能够通过估计各个设计元素的价值、识别有不同观点的细分群体、为设计权衡决策提供信息以及模拟用户对设计选项的反应，让用户参与到规划过程中。
