Crocker Sophie
528131HKS Architects, London, United Kingdom.
HERD. 2021 Jan;14(1):273-277. doi: 10.1177/1937586720964729. Epub 2020 Oct 13.
The majority of patient experience research has been conducted in culturally Western contexts without controlling for cultural and demographic variation. Designers are left with little choice but to apply contextually specific and demographically neutral research to a wide range of healthcare systems, cultural contexts, and demographic conditions. It is possible that some research will transfer and generate the intended outcomes. However, it is likely much will not, and there is currently little way of knowing what does and does not work in environments outside of those where the study was conducted. Healthcare design research conducted in a variety of sociocultural conditions could help to ensure healthcare facilities are designed to best suit the sociodemographic needs of their users and support the wider public health ambitions of the health system. Health inequalities that exist within and between nations are well-known, and while the systems and structures that inform these inequalities are complex, it is likely design can play a role in ensuring these inequalities are not exacerbated by the environments in which care is provided. In other words, while healthcare designers may not be able to affect the geographies of inequality outside health facilities, they should endeavor to impact those within. It is critical that studies be repeated in a wide variety of conditions and that design decisions be openly published, shared, and discussed to create a discourse around methods, ethics, and comparative studies in the field of Intersectional Healthcare Design Research.
大多数患者体验研究是在西方文化背景下进行的,没有考虑文化和人口统计学差异。设计师别无选择,只能将特定背景且不受人口统计学影响的研究应用于广泛的医疗系统、文化背景和人口状况。有些研究可能会适用并产生预期结果。然而,很可能许多研究并不适用,而且目前几乎无法知道在研究开展环境之外的环境中,哪些方法有效、哪些无效。在各种社会文化条件下进行医疗设计研究有助于确保医疗设施的设计最能满足其使用者的社会人口需求,并支持卫生系统更广泛的公共卫生目标。国家内部和国家之间存在的健康不平等现象众所周知,虽然导致这些不平等的系统和结构很复杂,但设计很可能在确保这些不平等不会因提供医疗服务的环境而加剧方面发挥作用。换句话说,虽然医疗设计师可能无法影响医疗机构之外的不平等地域,但他们应努力影响机构内部的不平等。至关重要的是,要在各种条件下重复进行研究,并公开公布、分享和讨论设计决策,以围绕交叉医疗设计研究领域的方法、伦理和比较研究展开讨论。