Systems approaches to healthcare systems design and care delivery: An overview of the literature

Alexander Komashie*, Saba Hinrichs-Krapels, P. John Clarkson

*Corresponding author for this work

Research output: Contribution to journalConference articleScientificpeer-review

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Abstract

The healthcare sector is facing significant challenges that require a systems approach, resulting in a rapid growth in the application of systems approaches in healthcare since the beginning of the 21st century. Consequently, healthcare practitioners and policymakers now desire to understand the evidence-base for the approach, but little evidence of the kind desired exists. This paper is a first step in conducting a narrative review of the application of systems approaches in healthcare based on a systematic review of the academic and grey literature. First, the emergence of the approach in healthcare is explored. Second, specific examples of applications of systems approaches in healthcare are examined to identify any missing elements in current practice. Third, fourteen reviews of the approach in healthcare published in the last ten years are analysed. The results suggest that the use of the approach in healthcare will most likely continue to increase, however, significant work remains for the design and systems community to demonstrate the effectiveness of systems approaches, specifically in providing convincing measures of impact on patient and service outcomes.

Original languageEnglish
Pages (from-to)2941-2950
Number of pages10
JournalProceedings of the Design Society
Volume1
DOIs
Publication statusPublished - 2021
Event23rd International Conference on Engineering Design, ICED 2021 - Gothenburg, Sweden
Duration: 16 Aug 202120 Aug 2021

Keywords

  • Design engineering
  • Healthcare design
  • Healthcare quality improvement
  • Service design
  • Systems Engineering (SE)

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