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评估以人类为中心的公共卫生设计:一项与难民社区共同开发医疗保健应用程序的案例研究。

Evaluating human-centred design for public health: a case study on developing a healthcare app with refugee communities.

作者信息

Bartlett Rebeccah, Boyle Jacqueline A, Simons Smith Jessica, Khan Nadia, Robinson Tracy, Ramaswamy Rohit

机构信息

Monash Centre for Health Research and Implementation - MCHRI, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Public Health Leadership Program, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.

出版信息

Res Involv Engagem. 2021 May 30;7(1):32. doi: 10.1186/s40900-021-00273-2.

Abstract

BACKGROUND

Australian women from migrant and refugee communities experience reduced access to sexual and reproductive healthcare. Human-centred design can be a more ethical and effective approach to developing health solutions with underserved populations that are more likely to experience significant disadvantage or social marginalisation. This study aimed to evaluate how well Shifra, a small Australian-based not-for-profit, applied human-centred design when developing a web-based application that delivers local, evidence-based and culturally relevant health information to its non-English speaking users.

METHODS

This study undertook a document review, survey, and semi-structured interviews to evaluate how well Shifra was able to achieve its objectives using a human-centred design approach.

RESULTS

A co-design process successfully led to the development of a web-based health app for refugee and migrant women. This evaluation also yielded several important recommendations for improving Shifra's human-centred design approach moving forward.

CONCLUSIONS

Improving refugees' access to sexual and reproductive health is complex and requires innovative and thoughtful problem solving. This evaluation of Shifra's human-centred design approach provides a helpful and rigorous guide in reporting that may encourage other organisations undertaking human-centred design work to evaluate their own implementation.

摘要

背景

来自移民和难民社区的澳大利亚女性获得性健康和生殖健康护理的机会减少。以人为本的设计可能是一种更具道德和有效性的方法,用于为那些更有可能经历重大不利处境或社会边缘化的服务不足人群开发健康解决方案。本研究旨在评估澳大利亚一家小型非营利组织希弗拉(Shifra)在开发一款基于网络的应用程序时,在多大程度上应用了以人为本的设计,该应用程序为非英语用户提供本地、基于证据且与文化相关的健康信息。

方法

本研究进行了文献回顾、调查和半结构化访谈,以评估希弗拉使用以人为本的设计方法实现其目标的程度。

结果

一个协同设计过程成功促成了一款面向难民和移民女性的基于网络的健康应用程序的开发。该评估还为希弗拉未来改进以人为本的设计方法提出了若干重要建议。

结论

改善难民获得性健康和生殖健康的机会是复杂的,需要创新且周到的问题解决方式。对希弗拉以人为本的设计方法的评估提供了一份有用且严谨的报告指南,可能会鼓励其他从事以人为本设计工作的组织评估自身的实施情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d39/8166144/169d4ffc9d38/40900_2021_273_Fig1_HTML.jpg

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