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Vaz N, Venkatesh R. Service design in the healthcare space with a special focus on non-clinical service departments: A synthesis and future directions. Health Serv Manage Res 2021; 35:83-91. [PMID: 33966470 DOI: 10.1177/09514848211010250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Although there has been a tremendous change in the way diseases are diagnosed and treated, the ways in which health care delivery has been managed has seen very little change.Several academic studies have arisen in the area of service design, but an amalgamation of this research, especially in the area of healthcare services is not available. The aim of this systematic review is to evaluate the published research on service design in healthcare and accordingly identify the gaps and scope of future research. After analyzing the articles and reviewing the Service design in healthcare literature, the following are our main contributions: (i) clarification of the service design concept and the developments that appears in the literature review of service design in the healthcare sector; (ii) classification of the service design tools and techniques that are most commonly used in the healthcare sector; (iii) demonstration of the service design as the preponderant construct that is used as a tool and technique to improve quality and efficiency in the healthcare service.The resultant systematic review reveals a change in the type of research carried out, the service design tools used and a shift towards service design from using the co-design tool to other methods. The paper highlights the gaps in the very limited amount of empirical work in the non-clinical healthcare space and accordingly a model is recommended.
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Koo HY, Yi K, Gu YE. [Design of Services for Improving the Quality of Care of Hospitalized Children with Acute Diseases]. CHILD HEALTH NURSING RESEARCH 2019; 25:528-540. [PMID: 35004444 PMCID: PMC8650980 DOI: 10.4094/chnr.2019.25.4.528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 08/29/2019] [Accepted: 09/09/2019] [Indexed: 11/06/2022] Open
Abstract
Purpose This study was conducted to design services for improving the quality of care of hospitalized children with acute diseases. Methods The service design process had four phases: discovery, definition, development, and delivery. The participants were 23 mothers of hospitalized children with an acute disease, and seven nurses and three doctors working at a pediatric hospital. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results The participants reported needs for explanations about the treatment, skillful nursing, and environmental improvements. The concept of the services was familiarity and enjoyment, aimed at solving the problems of unfamiliarity and boredom. A six-guideline was presented for improving the quality of care of hospitalized children with acute diseases: improvement of awareness, development of educational materials, improvement of skills, environmental improvements, play activities, and evaluations of user satisfaction. Conclusion These findings indicate that nursing services should deliver familiarity and enjoyment to hospitalized children and their families. The findings of this study emphasize that the service design methodology can be used to improve the quality of care of hospitalized children with acute diseases.
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Oladapo OT, Bohren MA, Fawole B, Mugerwa K, Ojelade OA, Titiloye MA, Alu FE, Mambya MO, Oyeneyin L, Bataale S, Akintan A, Alabi O, Adebayo A, Okike O, Idris HA, Wilfred S, Bello H, Kyaddondo D, Olutayo AO, Byamugisha J, Souza JP, Gülmezoglu AM. Negotiating quality standards for effective delivery of labor and childbirth care in Nigeria and Uganda. Int J Gynaecol Obstet 2017; 139 Suppl 1:47-55. [PMID: 29230800 DOI: 10.1002/ijgo.12398] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE "Negotiated standards" describe a level of quality of care that is acceptable and achievable within a specific health system, based on consensus between key stakeholders. This paper presents the development of negotiated standards for effective labor and childbirth care in selected hospitals and communities in Nigeria and Uganda. METHODS A four-step development process involving different methodologies. The process included: (1) review and synthesis of internationally recognized intrapartum clinical principles and practices; (2) primary qualitative research to assess values and preferences of women and healthcare providers, and practices that align with these preferences; (3) draft contextualization of effective and ineffective behaviors to reflect values and preferences; and (4) WHO-mediated negotiations between relevant stakeholders, including community members, providers, and administrators. RESULTS The primary outcomes of this process were a comprehensive set of effective behaviors and clinical practices covering the main domains of quality of care, which are practical and easy to communicate, implement, and audit across all levels of healthcare delivery. CONCLUSION The process demonstrates that health facilities and providers can be motivated to adopt standards of care that uphold the values and preferences of both service users and providers, while adhering to international best practices.
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Affiliation(s)
- Olufemi T Oladapo
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - Meghan A Bohren
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - Bukola Fawole
- Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Kidza Mugerwa
- Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda
| | - Olubunmi A Ojelade
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Musibau A Titiloye
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Francis E Alu
- Department of Obstetrics and Gynecology, Maitama District Hospital, Abuja, FCT, Nigeria
| | - Musana O Mambya
- Department of Obstetrics and Gynecology, St Francis Hospital Nsambya, Kampala, Uganda
| | - Lawal Oyeneyin
- Department of Obstetrics and Gynecology, Mother and Child Hospital, Ondo, Ondo State, Nigeria
| | - Salim Bataale
- Department of Obstetrics and Gynecology, Lubaga Hospital, Kampala, Uganda
| | - Adesina Akintan
- Department of Obstetrics and Gynecology, Mother and Child Hospital, Akure, Ondo State, Nigeria
| | - Olubunmi Alabi
- Department of Obstetrics and Gynecology, Wuse District General Hospital, Abuja, FCT, Nigeria
| | - Amos Adebayo
- Department of Obstetrics and Gynecology, Asokoro District Hospital, Abuja, FCT, Nigeria
| | - Ola Okike
- Department of Obstetrics and Gynecology, Karshi General Hospital, Abuja, FCT, Nigeria
| | - Hadiza A Idris
- Department of Obstetrics and Gynecology, Nyanya General Hospital, Abuja, FCT, Nigeria
| | - Sanni Wilfred
- Department of Obstetrics and Gynecology, Kubwa General Hospital, Abuja, FCT, Nigeria
| | - Halima Bello
- Department of Obstetrics and Gynecology, Gwarinpa General Hospital, Abuja, FCT, Nigeria
| | - David Kyaddondo
- Child Health and Development Centre, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Akinpelu O Olutayo
- Department of Sociology, Faculty of the Social Sciences, University of Ibadan, Ibadan, Nigeria
| | - Josaphat Byamugisha
- Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda
| | - Joao Paulo Souza
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - A Metin Gülmezoglu
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
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Downe S, Gülmezoglu AM. Turning local knowledge and experience into innovative tools for quality care during labor and childbirth: The BOLD project experience. Int J Gynaecol Obstet 2017; 139 Suppl 1:1-3. [PMID: 29218710 DOI: 10.1002/ijgo.12377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Soo Downe
- Research in Childbirth and Health (ReaCH) Group, University of Central Lancashire, Preston, UK
| | - A Metin Gülmezoglu
- UNDP/UNFPA/ UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
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Ojelade OA, Titiloye MA, Bohren MA, Olutayo AO, Olalere AA, Akintan A, Oladapo OT, Fawole B. The communication and emotional support needs to improve women's experience of childbirth care in health facilities in Southwest Nigeria: A qualitative study. Int J Gynaecol Obstet 2017; 139 Suppl 1:27-37. [PMID: 29218719 DOI: 10.1002/ijgo.12380] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To improve women's childbirth experiences in health facilities, their psychosocial and communication needs have to be met. However, what constitutes these specific needs is poorly understood, particularly in Sub-Saharan Africa. This paper explores women's needs for communication and emotional support during facility-based childbirth. METHODS Qualitative research was conducted in a large referral maternity hospital and its catchment communities in Akure, Nigeria. In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted among women of reproductive age, midwives, doctors, and facility administrators. Thematic analysis was used to synthesize findings, and then interpreted within the context of this study and existing quality of care framework. RESULTS Forty-two IDIs and 10 FGDs are included in this analysis. Participants reported such needs as communication in simple words in local language by healthcare staff, having their husbands as birth companions, spiritual support, and prayers from family members and healthcare providers. CONCLUSION To increase, improve, and sustain facility-based childbirth in Nigeria, health systems should appreciate the uniqueness and importance of each woman's needs during childbirth. Practical and sustainable actions should be taken to meet these needs, within the confines of the acceptable sociocultural norms.
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Affiliation(s)
- Olubunmi A Ojelade
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Musibau A Titiloye
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Meghan A Bohren
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - Akinpelu O Olutayo
- Department of Sociology, Faculty of the Social Sciences, University of Ibadan, Ibadan, Nigeria
| | - Adebimpe A Olalere
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | | | - Olufemi T Oladapo
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - Bukola Fawole
- Department of Obstetrics and Gynecology, National Institute of Maternal and Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
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Bohren MA, Titiloye MA, Kyaddondo D, Hunter EC, Oladapo OT, Tunçalp Ö, Byamugisha J, Olutayo AO, Vogel JP, Gülmezoglu AM, Fawole B, Mugerwa K. Defining quality of care during childbirth from the perspectives of Nigerian and Ugandan women: A qualitative study. Int J Gynaecol Obstet 2017; 139 Suppl 1:4-16. [DOI: 10.1002/ijgo.12378] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Meghan A. Bohren
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction Department of Reproductive Health and Research WHO Geneva Switzerland
| | - Musibau A. Titiloye
- Department of Health Promotion and Education Faculty of Public Health College of Medicine University of Ibadan Ibadan Nigeria
| | - David Kyaddondo
- Child Health and Development Centre College of Health Sciences Makerere University Kampala Uganda
| | - Erin C. Hunter
- Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore MD USA
| | - Olufemi T. Oladapo
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction Department of Reproductive Health and Research WHO Geneva Switzerland
| | - Özge Tunçalp
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction Department of Reproductive Health and Research WHO Geneva Switzerland
| | | | - Akinpelu O. Olutayo
- Department of Sociology Faculty of the Social Sciences University of Ibadan Ibadan Nigeria
| | - Joshua P. Vogel
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction Department of Reproductive Health and Research WHO Geneva Switzerland
| | - A. Metin Gülmezoglu
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction Department of Reproductive Health and Research WHO Geneva Switzerland
| | - Bukola Fawole
- Department of Obstetrics and Gynecology College of Medicine University of Ibadan Ibadan Nigeria
| | - Kidza Mugerwa
- Department of Obstetrics and Gynecology Makerere University Kampala Uganda
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Salgado M, Wendland M, Rodriguez D, Bohren MA, Oladapo OT, Ojelade OA, Olalere AA, Luwangula R, Mugerwa K, Fawole B. Using a service design model to develop the "Passport to Safer Birth" in Nigeria and Uganda. Int J Gynaecol Obstet 2017; 139 Suppl 1:56-66. [PMID: 29218714 DOI: 10.1002/ijgo.12381] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To demonstrate how a human-centered service design approach can generate practical tools for good-quality childbirth care in low-resource settings. METHODS As part of the WHO "Better Outcomes in Labour Difficulty" (BOLD) project, a service design approach was used in eight Ugandan and Nigerian health facilities and communities to develop the "Passport to Safer Birth." There are three phases: Research for Design, Concept Design, and Detail Design. These generated design principles, design archetype personas, and Passport prototypes. Data collection methods included desk research, interviews, group discussions, and journey mapping to identify touchpoints where the woman interacts with the health system. RESULTS A total of 90 interviews, 12 observation hours, and 15 group discussions were undertaken. The resulting design principles were: a shared and deeper understanding of pregnancy and childbirth among family and community; family readiness for decision-making and action; and the woman's sense of being in control and being cared for. Four archetype personas of women emerged: Vulnerable; Passive; Empowered; Accepter. Subsequent development of the Passport to Safer Birth tools addressed three domains: Care Mediator; Expectation Manager; and Pregnancy Assistant. CONCLUSION The service design approach can create innovative, human-centered service solutions to improve maternity care experiences and outcomes in low-resource settings.
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Affiliation(s)
| | | | | | - Meghan A Bohren
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - Olufemi T Oladapo
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland
| | - Olubunmi A Ojelade
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Adebimpe A Olalere
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Ronald Luwangula
- Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda
| | - Kidza Mugerwa
- Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda
| | - Bukola Fawole
- Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
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