What does co-design mean for Australia’s diverse clinical workforce?
Reema Harrison
A D , Melvin Chin B and Eidin Ni She C
A Australian Institute of Healthcare Innovation, Macquarie University, Sydney, NSW 2109, Australia.
B Prince of Wales Hospital, Sydney, NSW 2052, Australia. Email: melvin.chin@health.nsw.gov.au
C School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia. Email: eidin.nishe@unsw.edu.au
D Corresponding author. Email: reema.harrison@mq.edu.au
Australian Health Review 46(1) 60-61 https://doi.org/10.1071/AH21116
Submitted: 1 April 2021 Accepted: 2 June 2021 Published: 30 August 2021
Abstract
Co-design is increasingly employed as a user-centric method to create healthcare change. In healthcare co-design, small groups of consumers and healthcare workers come together to identify processes, policies or service elements that require improvement and to design solutions. Multiple frameworks have emerged to guide the health work force and health researchers how to conduct co-design and support consumer members to engage in the process effectively. Frameworks have sought to address the propensity for co-design to exacerbate inequities for consumers with complex care needs or in under-served populations. Advice regarding the need to consider and ensure co-design is accessible to an increasingly diverse health workforce is, however, lacking. Drawing on our experience co-designing with diverse consumer and healthcare-worker populations, we discuss the implications of co-design for the healthcare workforce.
References
[1] 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; 18 227–48.| Experience-based co-design and healthcare improvement: realizing participatory design in the public sector.Crossref | GoogleScholarGoogle Scholar |
[2] Robert G, Cornwell J, Locock L, Purushotham A, Sturmey G, Gager M. Patients and staff as codesigners of healthcare services. BMJ 2015; 350 g7714
| Patients and staff as codesigners of healthcare services.Crossref | GoogleScholarGoogle Scholar | 25670179PubMed |
[3] Australian Healthcare and Hospitals Association. Experience-Based Co-Design Toolkit. 2017. Available at: https://ahha.asn.au/experience-based-co-design-toolkit.
[4] The Point of Care Foundation. EBCD: Experience-based co-design toolkit. London. 2020. Available at: https://www.pointofcarefoundation.org.uk/resource/experience-based-co-design-ebcd-toolkit/.
[5] Agency for Clinical Innovation. A Guide to Build Co-Design Capacity. Agency for Clinical Innovation; 2019.
[6] Ní Shé É, Morton S, Lambert V, Ní Cheallaigh C, Lacey V, Dunn E, et al Clarifying the mechanisms and resources that enable the reciprocal involvement of seldom heard groups in health and social care research: A collaborative rapid realist review process. Health Expect 2019; 22 298–306.
| Clarifying the mechanisms and resources that enable the reciprocal involvement of seldom heard groups in health and social care research: A collaborative rapid realist review process.Crossref | GoogleScholarGoogle Scholar | 30729621PubMed |
[7] VicHealth. How to co-design with young Victorians. 2019. Available at: https://www.vichealth.vic.gov.au/media-and-resources/publications/co-design#.
[8] The National Centre of Excellence in Youth Mental Health. Co-designing with young people. Melbourne: University of Melbourne; 2019.
[9] Metro-Regional Intellectual Disability Network. Co-Design Kit. 2014. Available at: http://codesignkit.org.au/challenges-and-opportunities/changes-in-disability-care/.
[10] Vertovec S. Super-diversity and its implications. Ethn Racial Stud 2007; 30 1024–54.
| Super-diversity and its implications.Crossref | GoogleScholarGoogle Scholar |
[11] Hawthorne L. Health workforce migration to Australia. Melbourne: Health Workforce Australia; 2012.
[12] Australian Institute of Health and Welfare. Australia’s Health 2018. Canberra: Australian Government; 2018.
[13] Australian Institute of Health and Welfare. People with Disability in Australia. 2019. Available at: https://www.aihw.gov.au/reports/disability/people-with-disability-in-australia-in-brief/contents/how-many-people-have-disability.
[14] Le-Dao H, Chauhan A, Walpola R, Fischer S, Schwarz G, Minbashian A, et al Managing Complex Healthcare Change: A Qualitative Exploration of Current Practice in New South Wales, Australia. J Healthc Leadersh 2020; 12 143
| Managing Complex Healthcare Change: A Qualitative Exploration of Current Practice in New South Wales, Australia.Crossref | GoogleScholarGoogle Scholar | 33328776PubMed |
[15] Trischler J, Kristensson P, Scott D. Team diversity and its management in a co-design team. J Serv Manag 2018; 29 120–45.
| Team diversity and its management in a co-design team.Crossref | GoogleScholarGoogle Scholar |
[16] Australian Indigenous Doctor’s Association (AIDA). Report on the findings of the 2016 AIDA member survey on bullying, racism and lateral violence in the workplace. Canberra: AIDA; 2017.
[17] Neal-Boylan L, Hopkins A, Skeete R, Hartmann SB, Iezzoni LI, Nunez-Smith M. The Career Trajectories of Health Care Professionals Practicing With Permanent Disabilities. Acad Med 2012; 87 172–8.
| The Career Trajectories of Health Care Professionals Practicing With Permanent Disabilities.Crossref | GoogleScholarGoogle Scholar | 22189880PubMed |
[18] Sokol D. Dealing fairly with racist patients. BMJ 2019; 367 l6575
| 31744806PubMed |
[19] Dickinson M, Duffield C, Bichel-Findlay J, Travaglia J. Clinician Engagement in Quality: A Literature Review. Qual Manag Health Care 2021; 30 36–45.
| Clinician Engagement in Quality: A Literature Review.Crossref | GoogleScholarGoogle Scholar | 33306654PubMed |
[20] O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. BMC Health Serv Res 2020; 20 101
| A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.Crossref | GoogleScholarGoogle Scholar | 32041595PubMed |
[21] Ní Shé É, Cassidy J, Davies C, De Brún A, Donnelly S, Dorris E, et al Minding the gap: identifying values to enable public and patient involvement at the pre-commencement stage of research projects. Res Involv Engagem 2020; 6 46
| Minding the gap: identifying values to enable public and patient involvement at the pre-commencement stage of research projects.Crossref | GoogleScholarGoogle Scholar | 32765898PubMed |
[22] Nind M. What is inclusive research? A&C Black; 2014.
