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癌症护理中的设计思维:一项系统的文献综述。

Design thinking in cancer care: A systematic literature review.

作者信息

Memon Muhammad Mohsin, Carroll Noel, Crowley Katie

机构信息

Business Information Systems, University of Galway, Galway, Ireland.

Computer Science & Health Informatics, University of Limerick, Limerick, Ireland.

出版信息

Digit Health. 2025 May 21;11:20552076241313279. doi: 10.1177/20552076241313279. eCollection 2025 Jan-Dec.

Abstract

OBJECTIVE

Cancer can have a profound impact on the life of the patient, presenting challenges such as dealing with complex healthcare models and psychological burden. Implementing design thinking (DT) in cancer care can improve the quality of life for patients. Although DT has been used in healthcare, there is limited research highlighting use of DT in cancer care. The objective of this review is to explore the applications of DT within a cancer care context.

METHODS

We systematically searched databases (PubMed Central, Scopus, and Medline) for relevant papers published between January 2018 and March 2023. Articles were identified using keywords: 'cancer', 'cancer care', 'oncology', 'design thinking', and 'design science'. Studies meeting our inclusion criteria were included and data was collected on the focus of study (i.e., design thinking and cancer care), target condition, target intervention and objective of the study. Thematic analysis was performed to identify recurring themes across studies. Articles were evaluated by the lead author and cross verified by the other two authors to reduce the risk of bias.

RESULTS

Twenty studies were included out of the 160 articles identified whereby 11 focus on cancer care (5 patient-facing, 5 community-facing, and 1 provider-facing studies) and 9 on design thinking (5 patient-facing, 1 community-facing, and 3 provider-facing studies). Overall, seven themes were identified with several subthemes.

CONCLUSIONS

Our findings indicate that design thinking has been successfully applied to improve patient experiences in cancer care. By involving various stakeholders, including patients, healthcare providers, and communities, design thinking helps better understand real world problems. However, there is a gap in design thinking research concerning the long-term evaluation and scalability of design thinking-based interventions. Additionally, our findings suggest that mixed methods approach for future studies would support to establish more empirical evidence in this domain.

摘要

目的

癌症会对患者的生活产生深远影响,带来诸如应对复杂的医疗模式和心理负担等挑战。在癌症护理中应用设计思维(DT)可以提高患者的生活质量。尽管DT已被应用于医疗保健领域,但突出DT在癌症护理中应用的研究有限。本综述的目的是探讨DT在癌症护理背景下的应用。

方法

我们系统地检索了数据库(PubMed Central、Scopus和Medline),以查找2018年1月至2023年3月期间发表的相关论文。使用关键词“癌症”“癌症护理”“肿瘤学”“设计思维”和“设计科学”来识别文章。纳入符合我们纳入标准的研究,并收集有关研究重点(即设计思维和癌症护理)、目标疾病、目标干预措施和研究目的的数据。进行主题分析以识别各研究中反复出现的主题。文章由第一作者进行评估,并由其他两位作者进行交叉验证,以降低偏倚风险。

结果

在识别出的160篇文章中,纳入了20项研究,其中11项关注癌症护理(5项面向患者、5项面向社区和1项面向提供者的研究),9项关注设计思维(5项面向患者、1项面向社区和3项面向提供者的研究)。总体而言,识别出了七个主题以及若干子主题。

结论

我们的研究结果表明,设计思维已成功应用于改善癌症护理中的患者体验。通过让包括患者、医疗保健提供者和社区在内的各种利益相关者参与进来,设计思维有助于更好地理解现实世界的问题。然而,在设计思维研究中,关于基于设计思维的干预措施的长期评估和可扩展性存在差距。此外,我们的研究结果表明,未来研究采用混合方法将有助于在该领域建立更多实证证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13c5/12099083/e0877fa97c16/10.1177_20552076241313279-fig1.jpg

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