Silvola Sofia, Restelli Umberto, Bonfanti Marzia, Croce Davide
LIUC - Università Cattaneo, Castellanza, VA, Italy.
Department of Public Health Medicine, School of Health System & Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Clinicoecon Outcomes Res. 2023 May 17;15:333-347. doi: 10.2147/CEOR.S403243. eCollection 2023.
Service design and in particular co-design are approaches able to align with the need of healthcare contexts of value-based and patient-centered processing through a participatory design of services. The purpose of this study is to identify the characteristics of co-design and its applicability to the reengineering of healthcare services, as well as to detect the peculiarities of the application of this approach in different geographical contexts. The methodology applied for the review, Systematic Literature Network Analysis (SLNA), combines qualitative and quantitative perspectives. In detail, the analysis applied the paper citation networks and the co-word network analysis to detect the main research trends over time and to identify the most relevant publications. The results of the analysis highlight the backbone of literature on the application of co-design in healthcare as well as the advantages and the critical factors of the approach. Three main literature streams emerged concerning the integration of the approach at meso and micro level, the implementation of co-design at mega and macro level, and the impacts on non-clinical related outcomes. Moreover, the findings underline differences in co-design in terms of impacts and success factors in developed countries and economies in transition or developing countries. The analysis shows the potentially added value of the application of a participatory approach to the design and redesign of healthcare services both at different levels of the healthcare organization and in the contexts of developed countries and economies in transition or developing countries. The evidence also highlights potentialities and critical success factors of the application of co-design in healthcare services redesign.
服务设计，尤其是协同设计，是能够通过服务的参与式设计，与基于价值和以患者为中心的医疗保健环境需求保持一致的方法。本研究的目的是确定协同设计的特征及其在医疗服务再造中的适用性，以及检测该方法在不同地理环境中的应用特点。用于该综述的方法，即系统文献网络分析（SLNA），结合了定性和定量的视角。具体而言，该分析应用了论文引用网络和共词网络分析，以检测随时间变化的主要研究趋势，并识别最相关的出版物。分析结果突出了协同设计在医疗保健应用方面的文献主干，以及该方法的优势和关键因素。出现了三个主要的文献流，分别涉及该方法在中观和微观层面的整合、在宏观和巨型层面的协同设计实施，以及对非临床相关结果的影响。此外，研究结果强调了在发达国家与转型经济体或发展中国家，协同设计在影响和成功因素方面的差异。分析表明，在医疗保健组织的不同层面以及在发达国家与转型经济体或发展中国家的背景下，采用参与式方法进行医疗服务的设计和重新设计具有潜在的附加值。证据还突出了协同设计在医疗服务重新设计应用中的潜力和关键成功因素。
