DOI QR코드

DOI QR Code

의료 질 향상을 위한 서비스디자인: 환자경험 증진을 위한 실행 접근법

Service Design for Healthcare Quality Improvement: An Implementation Approach for Enhancing Patient Experience

  • Jung-Ha Ku (Designcare Lab Inc.) ;
  • Un-Hyung Ryu (Designcare Lab Inc.) ;
  • Young-Dae Kwon (Department of Humanities and Social Medicine, College of Medicine, The Catholic University of Korea)
  • 투고 : 2023.09.09
  • 심사 : 2023.12.04
  • 발행 : 2023.12.31

초록

Purpose:This study aims to suggest the future direction for applying service design to improve the quality of healthcare as part of hospital service innovation and present implementation plans in Korea, based on a review of quality improvement activities and the current status of service design applications. Methods: Through a literature review, we examined the status of service design introduction and application in the healthcare field, focusing on cases in the US and Europe. The possibility and limitations of service design in the healthcare field were examined through a comparison of oversea and domestic cases. Results: Recently, service design has begun to be applied to the healthcare field worldwide. Service design shows the possibility of an alternative that alleviates and complements the limitations of existing quality improvement activities. It also offers the possibility of creating new organizational improvement and innovation approaches through integration and convergence with existing quality improvement activities and management innovation. Conclusion: To effectively apply service design to hospitals, it is necessary to integrate internal organizations related to service improvement, combine methods, and objectively measure and evaluate performance. To this end, we propose the operation of a nationwide education and training center for quality improvement and service design led by academic society. Service design will provide an opportunity to change the management innovation and organizational culture of hospitals beyond the scope of the current quality improvement, which deals only with micro-subjects of individual hospitals.

키워드

참고문헌

  1. Nash DB, Joshi M, Ransom ER, Ransom SB. The healthcare quality book: vision, strategy, and tools. 4th ed. Chicago, US: Health Administration Press; 2012.
  2. Kwon YD. Quality improvement activities in hospital: its necessity, history and tasks. Journal of Korean Society of Quality Assurance in Health Care. 2006;12(2):47-54.
  3. Lee SH, Choi KS, Kang HY, Cho WH, Cha YM. Factors associated with the degree of quality improvement implementation. Korean Journal of Preventive Medicine 2001;34(4):363-71.
  4. Stickdorn M, Schneider J. This is service design thinking: basics, tools, cases. Wiley; 2012.
  5. McDonald L. Florence Nightingale and her Crimean War statistics: Lessons for hospital safety, public administration and nursing. Lecture for the Gresham College / British Society of the History of Mathematics Conference, 2014.
  6. Wright JR Jr. 2017. The American College of Surgeons, minimum standards for hospitals, and the provision of high-quality laboratory services. Archives of Pathology and Laboratory Medicine. 2017;141(5):704-17. https://doi.org/10.5858/arpa.2016-0348-HP
  7. Mallon B. Amory Codman: The end result of a dream to revolutionize medicine. Boston Shoulder Institute. [cited 2023 Jul 8]. Available: http://boston shoulderinstitute.com/wp-content/uploads/2014/07/Codman-Society-Bio.pdf.
  8. Park EC. Problems and future directions for quality evaluation of the Health Insurance Review and Assessment Service. Journal of Korean Medical Association. 2015;58(3):176-8. https://doi.org/10.5124/jkma.2015.58.3.176
  9. Park OJ. Quality improvement activities. Medical Postgraduates. 2011;39(6):255-8.
  10. Moraros J, Lemstra M, Nwankwo C. Lean interventions in healthcare: do they actually work? A systematic literature review. International Jouranl for Quality in Health Care, 2016;28(2):150-65. https://doi.org/10.1093/intqhc/mzv123
  11. Dixon-Woods M, Martin GP. Does quality improvement improve quality? Future Hospital Journal. 2016;3(3):191-4. https://doi.org/10.7861/futurehosp.3-3-191
  12. SDN. What is service design?; 2023 [cited 2023 Jul 4]. Available: https://www.service-design-network.org/about-service-design.
  13. Brown T. Change by design: How design thinking transforms organizations and inspires innovation. Harper Business; 2009.
  14. Shostack GL. How to design a service. European Jouranal of Marketing. 1982;16(1):49-63. https://doi.org/10.1108/EUM0000000004799
  15. Holmlid S, Evenson S. Bringing service design to service sciences, management and engineering. in Service science, management and engineering education for the 21st century. Boston, US: Springer; 2008.
  16. Patricio L, Teixeira JG, Vink J. A service design approach to healthcare innovation: from decision-making to sense-making and institutional change. AMS Review. 2019;9:115-20. https://doi.org/10.1007/s13162-019-00138-8
  17. Penin L. An itroduction to service design: designing the invisible. London, UK: Bloomsbury Visual Arts; 2018.
  18. Shin YS, Lee JH, Kim BJ, Lee JH, Lee YH, Hwang DK, et al. A plan to reorganize the health care system in accordance with the 4th industrial revolution. Sejong, Korea: KIHASA; 2017.
  19. Sarre S, Griffiths P, Chable R, Robert G. The 10- year impact of a ward-level quality improvement intervention in acute hospitals: a multiple methods study. Southampton, UK: NIHR Journals Library; 2019.
  20. Design thinking for health. [cited 2023 Jul 26]. Available: https://designthinkingforhealth.org/.
  21. Bate P, Robert G. Bringing user experience to healthcare improvement: the concepts, methods and practices of experience-based design.1st ed. Radcliffe Publishing; 2007.
  22. Donetto S, Pierri P, Tsianakas V, Robert G. Experience-based co-design and healthcare improvement: realizing participatory design in the public sector. The Design Journal. 2015;18(2):227-48. https://doi.org/10.2752/175630615X14212498964312
  23. Tweed A, Gilbert L. The impact of a quality improvement skills-building programme on self-efficacy. British Journal of Healthcare Management. 2018;24(10):481-5. https://doi.org/10.12968/bjhc.2018.24.10.481
  24. NHS England. Quality, service improvement and redesign (QSIR). [cited 2023 Jun 15]. Available: http://www.england.nhs.uk/sustainableimprovement/qsir-programme/.
  25. United Lincolnshire Hospitals. Quality, Service Improvement and Redesign (QSIR) programme. [cited 2023 Aug 2, 2023]. Available: https://www.ulh.nhs.uk/about/enhancements/improvement-academy/quality-service-improvement-and-redesign-qsir-programme/
  26. Patient experience is innovation. Medical Observer. 2015 Jul 31. [cited 2023 Nov 29]. Available: http://www.monews.co.kr/news/articleView.html?idxno=84879.
  27. Korea University Anam Hospital, K-inno Design Center opening ceremony. Medifonews. 2019 Jul 22. [cited 2023 Nov 29]. Available: http://www.medifonews.com/news/article.html?no=147492.
  28. Citizen participation service Design: a significant change in Seoul Medical Center. Yonhap News Agency. 2016 Jun 29. [cited 2023 Nov 29]. Available: https://www.yna.co.kr/view/AKR20160628147200017.
  29. Ku JH. OPL and design thinking to invigorate smart mobility services. Korea Institute of Public Administration OPL, Performance Report 2, 2022. [cited 2023 Aug 30]. Available: https://www.kipa.re.kr/site/kipa/research/selectPublishView.do?gubun=OV&pblcteId=-PUBL_000000000000739.
  30. Lee JJ, Park-Lee SH. New design tools. Insight, 2018. [cited 2023 Aug 31]. Available: https://www.yes24.com/Product/Goods/66319093.
  31. Designcare Lab. The Trauma Center for Ferry Sewol Victims. [cited 2023 Aug 31]. Available: https://www.designcare.co.kr/post/세월호-피해자를-위한-트라우마-센터.
  32. Dearden A, Wright P, Bowen S, Rahman F, Cobb M, Wolstenholme D. User-centred design and pervasive health: A position statement from the User-Centred Healthcare Design project. 2010 4th International Conference on Pervasive Computing Technologies for Healthccare, PervasiveHealth. [cited 2022 Dec 28]. Available: https://www.academia.edu/5072602/User_centred_design_and_pervasive_health_A_position_statement_from_the_User_Centred_Healthcare_Design_project.
  33. McCreary L. Kaiser Permanente's Innovation on the front lines. Harvard Business Review. 2010;88(9):94-7.
  34. Rhi JM. An analysis of current research paradigm for service design in Korea. Journal of Digital Design. 2014;14(2):417-26. https://doi.org/10.17280/JDD.2014.14.2.039
  35. Locock L. Healthcare redesign: meaning, origins and application. BMJ Quality & Safety. 2003;12(1):53-7. https://doi.org/10.1136/qhc.12.1.53
  36. Choi KS, Jee YK, Lee Sh, Chae YM. Cognition and attitude of hospital CEOs toward healthcare quality improvement activity. Journal of Korean Society of Qualoty Assurance in Health Care. 2001;8(2):218-31
  37. Choi KS. Cho WH, Lee S, Nam JM. Structural modeling of quality, satisfaction, value and purchase intention in health care service. Journal of Preventive Medicine & Public Health. 2000;33(4):426-35.
  38. Bopp KD. How patients evaluate the quality of ambulatory medical encounters: a marketing perspective. Journal of Health Care Marketing. 1990;10(1):6-15.