Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA.
Department of Communication Studies, San José State University, San Jose, CA, USA.
J Gen Intern Med. 2021 Apr;36(4):1041-1048. doi: 10.1007/s11606-020-06451-4. Epub 2021 Feb 3.
Human-centered design (HCD), an empathy-driven approach to innovation that focuses on user needs, offers promise for the rapid design of health care interventions that are acceptable to patients, clinicians, and other stakeholders. Reviews of HCD in healthcare, however, note a need for greater rigor, suggesting an opportunity for integration of elements from traditional research and HCD. A strategy that combines HCD principles with evidence-grounded health services research (HSR) methods has the potential to strengthen the innovation process and outcomes. In this paper, we review the strengths and limitations of HCD and HSR methods for intervention design, and propose a novel Approach to Human-centered, Evidence-driven Adaptive Design (AHEAD) framework. AHEAD offers a practical guide for the design of creative, evidence-based, pragmatic solutions to modern healthcare challenges.
以人为本的设计（HCD）是一种同理心驱动的创新方法，专注于用户需求，为快速设计可被患者、临床医生和其他利益相关者接受的医疗干预措施提供了可能。然而，对医疗保健中的 HCD 的审查指出需要更加严格，这表明有机会整合传统研究和 HCD 的要素。将 HCD 原则与基于证据的卫生服务研究（HSR）方法相结合的策略有可能增强创新过程和结果。在本文中，我们审查了 HCD 和 HSR 方法在干预设计方面的优缺点，并提出了一种新颖的以人为本、循证自适应设计（AHEAD）框架。AHEAD 为设计创意、基于证据、务实的现代医疗保健挑战解决方案提供了实用指南。
