具有高医疗服务使用量人群的社区卫生服务共同设计中参与者的经验。
Experiences of participants in the co-design of a community-based health service for people with high healthcare service use.
机构信息
Menzies Institute for Medical Research University of Tasmania, Hobart, Australia.
University of Tasmania, Hobart, Australia.
出版信息
BMC Health Serv Res. 2024 Mar 14;24(1):339. doi: 10.1186/s12913-024-10788-5.
BACKGROUND
Incorporating perspectives of health consumers, healthcare workers, policy makers and stakeholders through co-design is essential to design services that are fit for purpose. However, the experiences of co-design participants are poorly understood. The aim of this study is to explore the experiences and perceptions of people involved in the co-design of a new service for people with high healthcare service utilisation.
METHODS
A methodology informed by the principles of grounded theory was used in this qualitative study to evaluate the experiences and perceptions of co-design participants. Participants were healthcare professionals, health managers and leaders and health consumers involved in the co-design of the new service in Tasmania, Australia. Semi-structured interviews were conducted, and data were iteratively and concurrently collected and analysed using constant comparative analysis. Audio/audio-visual recordings of interviews were transcribed verbatim. Transcripts, memos, and an audit trail were coded for experiences and perspectives of participants.
RESULTS
There were thirteen participants (5 health professionals, 6 health managers and leaders, and 2 health consumers). Codes were collapsed into six sub-themes and six themes. Themes were bureaucracy hinders co-design, importance of consumers and diversity, importance of a common purpose, relationships are integral, participants expectations inform their co-design experience and learning from co-design.
CONCLUSION
Most participants reported positive aspects such as having a common purpose, valuing relationships, and having a personal motivation for participating in co-design. However, there were factors which hindered the adaptation of co-design principles and the co-design process. Our research highlights that bureaucracy can hinder co-design, that including people with lived experience is essential and the need to consider various types of diversity when assembling co-design teams. Future co-design projects could use these findings to improve the co-design experience for participants, and ultimately the outcome for communities.
背景
通过共同设计纳入健康消费者、医疗保健工作者、政策制定者和利益相关者的观点对于设计符合目的的服务至关重要。然而，共同设计参与者的经验却知之甚少。本研究旨在探讨参与共同设计新服务的人们的经验和看法，该服务针对高医疗服务利用率人群。
方法
本定性研究采用扎根理论原则指导的方法，评估共同设计参与者的经验和看法。参与者包括澳大利亚塔斯马尼亚州新服务共同设计中的医疗保健专业人员、医疗保健管理人员和领导者以及健康消费者。进行了半结构化访谈，使用不断比较分析方法迭代和同时收集和分析数据。访谈的音频/视听记录被逐字转录。抄本、备忘录和审计跟踪被编码为参与者的经验和观点。
结果
共有 13 名参与者（5 名健康专业人员、6 名医疗保健管理人员和领导者以及 2 名健康消费者）。代码被合并为六个子主题和六个主题。主题包括官僚主义阻碍共同设计、消费者和多样性的重要性、共同目的的重要性、关系是必不可少的、参与者的期望影响他们的共同设计体验以及从共同设计中学习。
结论
大多数参与者报告了积极的方面，例如有共同的目的、重视关系、并有个人动机参与共同设计。然而，存在阻碍共同设计原则和共同设计过程适应的因素。我们的研究强调官僚主义会阻碍共同设计，让有实际经验的人参与是必不可少的，并且在组建共同设计团队时需要考虑各种类型的多样性。未来的共同设计项目可以利用这些发现来改善参与者的共同设计体验，最终为社区带来更好的结果。
Zotero 插件