Centre for Health Systems and Safety Research, Australian Institute of Health Innovation (AIHI), Macquarie University, North Ryde, NSW, 2109, Australia.
System Transformation Evaluation and Patient Experience, Agency for Clinical Innovation (ACI), NSW Health, St Leonards, NSW, 2065, Australia.
Int J Equity Health. 2021 Nov 4;20(1):240. doi: 10.1186/s12939-021-01579-z.
Co-design as a participatory method aims to improve health service design and implementation. It is being used more frequently by researchers and practitioners in various health and social care settings. Co-design has the potential for achieving positive outcomes for the end users involved in the process; however, involvement of diverse ethnic minority population in the process remains limited. While the need to engage with diverse voices is identified, there is less information available on how to achieve meaningful engagement with these groups. Ethnic minorities are super-diverse population and the diversity between and within these groups need consideration for optimising their participation in co-design. Based on our experience of working with diverse ethnic minority groups towards the co-design of consumer engagement strategies to improve patient safety in cancer services as part of the two nationally-funded research projects in Australia, we outline reflections and practical techniques to optimise co-design with people from diverse ethnic backgrounds. We identify three key aspects of the co-design process pertinent to the involvement of this population; 1) starting at the pre-commencement stage to ensure diverse, seldom heard consumers are invited to and included in co-design work, 2) considering logistics and adequate resources to provide appropriate support to address needs before, during and beyond the co-design process, and 3) supporting and enabling a diversity of contributions via the co-design process.
共同设计作为一种参与式方法，旨在改善卫生服务的设计和实施。它越来越多地被研究人员和不同医疗和社会保健环境中的从业者所采用。共同设计有可能为参与该过程的最终用户带来积极的成果；然而，少数民族群体的参与仍然有限。虽然已经认识到需要与不同的声音接触，但关于如何与这些群体进行有意义的接触的信息较少。少数民族是一个超级多样化的群体，需要考虑这些群体之间和内部的多样性，以优化他们在共同设计中的参与度。基于我们在澳大利亚的两个全国性资助研究项目中与不同少数民族群体合作共同设计消费者参与策略以改善癌症服务中的患者安全的经验，我们总结了一些反思和实用技巧，以优化与来自不同族裔背景的人们共同设计。我们确定了与该人群参与相关的共同设计过程的三个关键方面；1）在开始之前的阶段就开始，以确保邀请并包括多样化的、很少被听到的消费者参与共同设计工作，2）考虑后勤和充足的资源，在共同设计过程之前、期间和之后为满足需求提供适当的支持，3）通过共同设计过程支持和促进多样性的贡献。
