Hindering Contradictions in Healthcare: An activity-theoretical analysis of a design-led investigation in primary care
2015 (English)In: Proceedings of the Third European Conference on Design4Health 2015, Sheffield, 13 - 16 July 2015 / [ed] Kirsty Christer, Sheffield, UK: Sheffield Hallam University , 2015, 1-9 p.Conference paper (Refereed)Text
The Swedish healthcare system has been reformed in a significant way during the last decades resulting in several challenges. One of those challenges, addressed in this paper, concerns the relation between decreased resources and patient-centred care. Thus, this paper poses the question of why healthcare faces difficulties in transforming itself to become more patient- centred. To investigate the question, a case study previously unprecedented in Sweden was conducted at a primary care unit: The first author was employed by the county council as in-house service- designer in a nationally funded1 project with a placement at one specific primary care unit over 15 months. The project was initiated in 2014 and investigated the use of design methodology to explore the needs for future improvement in primary care. Collected data has been analyzed through Activity Theory, resulting in the identification of two major contradictions that emerge between the overarching activity of the organization and two inherent systems: the patient/citizen's activity system of getting help to gain better health and the doctor's activity system of providing care.
Place, publisher, year, edition, pages
Sheffield, UK: Sheffield Hallam University , 2015. 1-9 p.
Healthcare, activity theory, design methodology, patient-centred, service design
Research subject Man-Machine-Interaction (MMI)
IdentifiersURN: urn:nbn:se:su:diva-123952ISBN: 978-1-84387-385-3OAI: oai:DiVA.org:su-123952DiVA: diva2:878596
Third European Conference on Design4Health 2015, Sheffield, 13 - 16 July 2015