Rsd6 pereno-for upload
- 1. Amina Pereno, PhD RSD6 Symposium Oslo, 20.10.2017 SYSTEMIC DESIGN TOWARDS USER-CENTERED SUSTAINABILITY IN MEDICAL TREATMENTS
- 2. index STATE OF THE ART DESIGN STRATEGIES FOR SH RESEARCH METHODOLOGY GUIDELINES FOR DIALYSIS ANALYSIS OF THE SYSTEM CASE STUDY
- 3. STATE OF THE ART design for healthcare HEALTHCARE environ m entalissues economicis sues social issues SUSTAINABLE HEALTHCARE is a new domain that focuses on making health care environmentally, economically and socially viable The healthcare sector is a big social, environmental and economic challenge for our societies. The attention to the environmental impacts of the health systems has grown globally, also because they represent a huge economic burden.
- 4. STATE OF THE ART design for healthcare HEALTHCARE DESIGN FOR SUSTAINABLE HEALTHCARE POLICY RESEARCH EDUCATION RESEARCH The literature review showed that Sustainable Healthcare is still a small area of research, that is currently addressed only by
- 5. STATE OF THE ART design for healthcare HEALTHCARE SUSTAINABLE HEALTHCARE Thecontributionof DESIGN RESEARCH isstillverylimited BUT it could play a key role in leading sustainable innovation and answering the lack of knowledge that companies are facing in this new sector.
- 6. STATE OF THE ART design for healthcare designingfor SUSTAINABLE HEALTHCARE technical complexity multi-environment multi-stakeholder SYSTEMIC DESIGN My research has started from this research gap to work on Design for Sustainable healthcare. A systemic approach is needed to address the complexity of this topic.
- 7. RESEARCH METHODOLOGY research questions How might systemic design improve the environmental sustainability of medical products, services and systems? How does the system affect the products and the people that interact with them? How does the context affect the treatment? 1| 2|
- 8. RESEARCH METHODOLOGY case study CASE STUDY > relevance > diffusion > environmental burden it has to be significant in terms of:
- 9. RESEARCH METHODOLOGY case study CHRONIC HEMODIALYSIS 2.5 million people worldwide 2% of the healthcare expenditure in Europe 4-6 kg of waste per session (each patient)
- 10. STATE OF THE ART case study DESIGN POLITO DAD SH EXPERTS TEM AT LUND UNIV. NEPHROLOGY UNITO S. LUIGI H. BIOMEDICAL ENGINEERING POLITO DIMEAS interdisciplinary collaboration CHRONIC HEMODIALYSIS
- 11. RESEARCH METHODOLOGY system items PRODUCT EQUIPMENT TREATMENT LOCAL ENVIRONMENT GLOBALITEMSLOCALITEMS DIRECTUSERSINDIRECTUSERS systemitems
- 12. RESEARCH METHODOLOGY methodology QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS LOCALENVIRONMENT TREATMENT EQUIPMENT PRODUCT FIRST STEP
- 13. RESEARCH METHODOLOGY methodology REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION LOCALENVIRONMENT TREATMENT EQUIPMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS FIRST STEP
- 14. RESEARCH METHODOLOGY methodology REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN LOCALENVIRONMENT TREATMENT EQUIPMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS FINAL STEP: DESIGN CONTRIBUTION
- 15. RESEARCH METHODOLOGY methodology ITALY San Luigi Gonzaga Hospital Reparto di Nefrologia SUS Malmö Hospital Dialysmottagning 42:an Frederiksberg Hospital Haemodialyse 1 SWEDEN DENMARK The methodology has been applied to 3 international case studies:
- 16. ANALYSIS OF THE SYSTEM analysis of products REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN LOCALENVIRONMENT TREATMENT EQUIPMENT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS PRODUCT
- 17. ANALYSIS OF THE SYSTEM analysis of products
- 18. ANALYSIS OF THE SYSTEM analysis of products QUALITATIVE-QUANTITATIVE ANALYSIS FUNCTIONAL, ENVIRONMENTAL, COMMUNICATION ISSUES WASTE PRODUCTION, WASTE COMPOSITION
- 19. ANALYSIS OF THE SYSTEM analysis of equipment REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN LOCALENVIRONMENT TREATMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS EQUIPMENT
- 20. ANALYSIS OF THE SYSTEM analysis of equipment DISASSEMBLY ANALYSIS STRUCTURE ELECTRONICS HYDRAULICS BLOOD CIRCUIT FRESENIUS 5008
- 21. ANALYSIS OF THE SYSTEM analysis of equipment DISASSEMBLY ANALYSIS PROBLEMS IN DISASSEMBLY, ACCESSIBILITY AND LAYOUT
- 22. ANALYSIS OF THE SYSTEM analysis of treatment REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN LOCALENVIRONMENT EQUIPMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS TREATMENT
- 23. ANALYSIS OF THE SYSTEM analysis of treatment ROUTINE ANALYSIS ITALY SAN LUIGI H. SWEDEN MALMO SUS DENMARKFREDERIKSBERGH. - 2 full days on-field observation - data collection - informal interviews
- 24. ANALYSIS OF THE SYSTEM analysis of treatment ROUTINE ANALYSIS > VISUALIZATION OF THE COLLECTED DATA HOW ROUTINES AND TASKS AFFECT ENVIRONMENTAL SUSTAINABILITY
- 25. ANALYSIS OF THE SYSTEM analysis of local environment REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN TREATMENT EQUIPMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS LOCALENVIRONMENT
- 26. ANALYSIS OF THE SYSTEM analysis of local environment ORGANIZATIONAL ANALYSIS Regional organization for Sustainable Healthcare Analysis of the regional organization, highlighting the role of the stakeholders that are managing the environmental aspects of the local health system.
- 27. ANALYSIS OF THE SYSTEM analysis of local environment ORGANIZATIONAL ANALYSIS Implementation of Sustainable Healthcare strategies
- 28. ANALYSIS OF THE SYSTEM OVERVIEW ON REGIONAL STRATEGIES AND ROLES analysis of local environment ORGANIZATIONAL ANALYSIS
- 29. GUIDELINES FOR DIALYSIS guidelines for dialysis REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN LOCALENVIRONMENT TREATMENT EQUIPMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS CASE STUDY GOAL
- 30. GUIDELINES FOR DIALYSIS HEALTHCARE SUSTAINABLE HEALTHCARE LACK OF DESIGNTOOLS FOR HEALTH STAKEHOLDERS DESIGN GUIDELINES guidelines for dialysis The first outcome of this work aims at starting filling the gap highlighted in the state of the art. The guidelines can help health stakeholders and designers to address the complex challenge of Sustainable Healthcare in dialysis.
- 31. GUIDELINES FOR DIALYSIS guidelines for dialysis 1| REDUCTION Rethink the way the product is intended to be, designing formally and typologically innovative products. 2 | MATERIALS Meet the product requirements, promoting the effectiveness, the durability and the easiness of sorting of the materials. 3| TECHNOLOGY Thinking of an innovative use of the existing technologies, focusing on people needs. 4| FLEXIBILITY Fullyfitstheneedsofdifferentusersandadaptstothechange of these needs over time. 5| USABILITY Bring innovative solutions, starting from the social, cultural, and operational needs of users. 6| LIFE CYCLE Facilitate maintenance allows extending the life cycle of the product and updating it according to users’ needs. 7| INFORMATION Create knowledge and awareness in the user, throughout the whole life cycle. GUIDELINES FOR PRODUCTS AND EQUIPMENT The categories refer to Sustainable Design: this provides a clear theoretical framework to the stakeholders that are approaching the topics of environmental sustainability
- 32. GUIDELINES FOR DIALYSIS guidelines for dialysis 67 GUIDELINES
- 33. DESIGN STRATEGIES FOR SH design strategies for SH REQUIREMENT IDENTIFICATION GUIDELINE DEFINITION DESIGN QUALI-QUANTITATIVE ANALYSIS DISASSEMBLY ANALYSIS ROUTINE ANALYSIS ORGANIZATIONAL ANALYSIS PROCESS IDENTIFICATION NEED IDENTIFICATION DESCRIPTION ANALYSIS PROCESSING DEFINITION DESIGN LOCALENVIRONMENT TREATMENT EQUIPMENT PRODUCT PRODUCTÅÆSYSTEM PRODUCT GUIDELINES EQUIPMENT GUIDELINES TREATMENT GUIDELINES OVERVIEW OF LOCAL REGULATIONS RESEARCH GOAL
- 34. DESIGN STRATEGIES FOR SH design strategies for SH Starting from the analysis of the system and the hemodialysis guidelines, a set of 15 design strategies has been defined to highlight the main topics to address, in connection with the system items and the direct stakeholders
- 35. DESIGN STRATEGIES FOR SH design strategies for SH
- 36. DESIGN STRATEGIES FOR SH design strategies for SH CATEGORY 7 categories SYSTEM ITEMS Product, equipment, treatment MAIN ISSUES Primary problems highlighted DESIGN PERSPECTIVE The role of Design and possible strategies DESIGN GUIDELINES A set of detailed guidelines for designers Example of the visual organization of a strategy
- 37. DESIGN STRATEGIES FOR SH design strategies for SH 15 DESIGN STRATEGIES
- 38. future directions SUSTAINABLE HEALTHCARE environ m entalissues economicis sues social issues In the short-medium term, multidisciplinary projects are needed to involve different stakeholders and address more in depth the social and economic aspects of Sustainable Healthcare.
- 39. PRODUCT SUSTAINABLE MEDICAL CARE EQUIPMENT TREATMENT SUSTAINABLE CARE MODELS LOCAL ENVIRONMENT SUSTAINABLE HEALTH SYSTEMS future directions SYSTEMIC TRANSITION In the long term, we should be able to move from the specific treatment system to the wide complex system of health systems towards self-care
- 40. RSD6 Symposium Oslo, 20.10.2017 THANK YOU! Amina Pereno, PhD amina.pereno@polito.it