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Hospital	
  Projects	
  
A	
  participatory	
  approach	
  to	
  
Interaction	
  Design	
  




CHOI	
  Chi	
  Kit,	
  Jackson	
  	
  	
  	
  //	
  	
  	
  	
  	
  	
  ICID	
  Conference	
  2011	
  	
  	
  	
  	
  //	
  	
  	
  	
  	
  11.11.2011	
  
//	
  relatively	
  an	
  open	
  brief	
  
	
  
//	
  design	
  opportunities	
  for	
  improving	
  the	
  
       medical	
  services	
  of	
  Pok	
  Oi	
  Hospital	
  
“What are the Medical Services?”
//	
  scouting	
  visits	
  to	
  the	
  hospital	
  
//	
  to	
  meet	
  professional	
  health	
  caregivers	
  
//	
  to	
  understand	
  the	
  organization	
  and	
  daily	
  
operation	
  	
  
//	
  to	
  observe	
  how	
  patients	
  and	
  health	
  caregivers	
  
are	
  interacting	
  in	
  the	
  hospital.	
  	
  

	
  
//	
  Potential	
  project	
  areas	
  have	
  been	
  identified	
  
Medical experience
for ethnic minority




Jackson	
  CHOI	
  Chi	
  Kit	
  
MDES	
  Interaction	
  Design	
  
“What is in my mind”




    A	
  project	
  for	
  Ethnic	
  Minority	
  
Ethnic minorities are facing different
problems such as languages, social,
cultural and religious issues in hospital.
Ethnic minorities are facing different
problems such as languages, social,
cultural and religious issues in hospital.

HK, emergency 急症
Filipino, kagipitan
Pakistani, !"#$%&, Urdu
Indonesian, darurat 
Nepalese, Nepali
Ethnic minorities are facing different
problems such as languages, social,
cultural and religious issues in hospital. 

Taboo, food, customs, ideology (sex, body)

Hinduism / Nepalese
Muslims / Indonesian
Islam / Pakistani
Preliminary	
  Proposition	
  

•  It	
  is	
  a	
  conflicts	
  between	
  different	
  cultures	
  
•  Minority	
  VS	
  Majority	
  =	
  Inferior	
  VS	
  superior	
  
•  Discrimination	
  
Preliminary	
  Proposition	
  

•  It	
  is	
  a	
  conflicts	
  between	
  different	
  cultures	
  
•  Minority	
  VS	
  Majority	
  =	
  Inferior	
  VS	
  superior	
  
•  Discrimination	
  




       BIG
                       Problem is far too
“Preconception is a hallucinogen
        for designers!”




    You	
  seem	
  to	
  know	
  what	
  you	
  actually	
  don’t!	
  
Research	
  and	
  analysis	
  methodologies	
  
Service	
  Design	
  
	
  
//	
  relevance	
  
//	
  usability	
  	
  
//	
  desirability	
  and	
  	
  
//	
  compassion	
  	
  
	
  
are	
  the	
  keys	
  to	
  success;	
  all	
  of	
  these	
  criteria	
  are	
  user-­‐centered	
  
Service	
  Design	
  
	
  




                                                     }
//	
  relevance	
                                                     customer	
  
//	
  usability	
  	
                                                 behavior	
  
//	
  desirability	
  and	
  	
                                       emotional	
  
//	
  compassion	
  	
                                                values	
  
	
  
are	
  the	
  keys	
  to	
  success;	
  all	
  of	
  those	
  criteria	
  are	
  user-­‐centered	
  
that	
  lead	
  to	
  customer	
  behaviors	
  and	
  emotional	
  values.	
  	
  
“not what we want to design for the
 projects but what is required for a
 reliable, effective and comforting
          patient journey.”




          behavior	
  +	
  emotion	
  
 
 	
  
 	
  
 	
   %	
  
 	
  
20
of	
  patient	
  population	
  
Ingredients	
  of	
  research	
  




                   People	
  
    Tasks	
  


                Trust	
  




         insights	
  
//	
  we	
  should	
  encourage	
  the	
  participation	
  and	
  
contribution	
  of	
  all	
  stakeholders	
  in	
  the	
  very	
  early	
  
stage	
  of	
  development	
  
Pa:ent	
  family	
                    Management	
  




                        pa:ents	
  




Social	
  workers	
                          Healthcare	
  givers	
  
they are real people, not data
By	
  understanding	
  the	
  real	
  problems	
  and	
  
 difficulties	
  faced	
  by	
  the	
  stakeholders…	
  	
  
By	
  understanding	
  the	
  real	
  problems	
  and	
  
       difficulties	
  faced	
  by	
  the	
  stakeholders,	
  	
  
	
  
Insights	
  and	
  solutions	
  will	
  emerge	
  automatically.	
  
//	
  interviews	
  were	
  conducted	
  with	
  stakeholders	
  
who	
  had	
  provided	
  useful	
  views	
  and	
  suggestions	
  
about	
  concerns	
  and	
  problems	
  from	
  different	
  
perspectives.	
  	
  
“the	
  one	
  thing	
  that	
  would	
  
  make	
  my	
  job	
  easier	
  ,	
  is	
  
         more	
  time”	
  
“Without	
  interpreter,	
  they	
  cannot	
  
 explain	
  themselves	
  fully,	
  have	
  
 phobia,	
  and	
  prefer	
  not	
  go	
  to	
  the	
  
 hospital."	
  	
  	
  




~	
  Ms.	
  Samaira	
  Rehmat,	
  SSCEM	
  
"I	
  don't	
  really	
  understand	
  those	
  
difficult	
  medical	
  terms.	
  	
  




 ~	
  Pakistani	
  boy	
  	
  	
  
"Core	
  informa,on	
  is	
  important	
  
for	
  sickness,	
  not-­‐so-­‐core	
  info	
  may	
  
influence	
  the	
  experience."	
  




 ~	
  Rita	
  Kong,	
  Manager,	
  Community	
  Health	
  Center	
  	
  
Healthcare	
  Givers	
  Said	
  
//	
  Don’t	
  show	
  up	
  in	
  appointed	
  date	
  
//	
  Don’t	
  understand	
  medical	
  instructions	
  
//	
  Forget	
  to	
  bring	
  medical	
  reports	
  
//	
  May	
  use	
  identity	
  of	
  someone	
  else	
  just	
  to	
  save	
  money	
  
	
  
Patients	
  Said	
  
//	
  Why	
  I	
  need	
  to	
  wait	
  for	
  4	
  hours?	
  
//	
  I	
  get	
  Panadol	
  for	
  all	
  illnesses	
  
//	
  I	
  need	
  to	
  bring	
  along	
  my	
  kids	
  to	
  the	
  hospital	
  or	
  else	
  no	
  
one	
  is	
  taking	
  care	
  of	
  them	
  
//	
  Doctors	
  are	
  exaggerating	
  my	
  illness	
  
//	
  Difficult	
  to	
  use	
  telephone	
  reservation	
  system	
  
//	
  I	
  am	
  lost	
  in	
  hospital	
  
Difficulties	
  
	
  
//	
  Ethnic	
  minorities	
  are	
  facing	
  various	
  difficulties	
  such	
  as	
  
language,	
  cultural,	
  and	
  emotional	
  issues	
  in	
  medical	
  
service	
  in	
  POH.	
  
	
  
	
  
Being	
  ignored	
  
Sense	
  of	
  helplessness	
  
Stressed	
  and	
  lost	
  
	
  
We know the people,research	
  
         Ingredients	
  of	
   what about their
                 task?


                              People	
  
               Tasks	
  


                           Trust	
  




                   insights	
  
“What about Current Patient Journey?”




            A	
  project	
  for	
  Ethnic	
  Minority	
  
//	
  To	
  collect	
  direct	
  evidence	
  of	
  patients’	
  medical	
  
experience,	
  research	
  methods	
  like	
  field	
  
observation	
  and	
  shadowing	
  have	
  been	
  used	
  for	
  
patients	
  in	
  different	
  departments	
  and	
  clinics.	
  
Field	
  Research	
  
	
  




  Health	
  Check	
  seminar	
  
Triage	
  Station	
  
	
  




  EM	
  patients	
  shadowing	
  in	
  patient	
  journey	
  
  12	
  EM	
  patients	
  for	
  10	
  hours	
  
  	
  	
  
Consultation	
  Room	
  
	
  




 EM	
  patients	
  shadowing	
  in	
  patient	
  journey	
  
 12	
  EM	
  patients	
  for	
  10	
  hours	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  




                         interpreters	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
?
“What did I learn from these ?”
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
	
  




 “Without	
  interpreter,	
  they	
  cannot	
  explain	
  
 themselves	
  fully,	
  have	
  phobia,	
  and	
  prefer	
  
 not	
  go	
  to	
  the	
  hospital."	
  	
  	
  
 ~	
  Ms.	
  Samaira	
  Rehmat,	
  SSCEM	
  
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
à  Let	
  the	
  patient	
  take	
  control	
  of	
  the	
  journey	
  
	
  




 “Doctor	
  and	
  nurse	
  tend	
  to	
  talk	
  to	
  
 interpreters	
  instead	
  of	
  to	
  EM	
  patient”	
  
 ~	
  from	
  observation	
  in	
  shadowing	
  	
  	
  
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
à  Let	
  the	
  patient	
  take	
  control	
  of	
  the	
  journey	
  
à  To	
  create	
  consistent	
  contact	
  point	
  for	
  adherence	
  




 "	
  One	
  patient	
  meets	
  many	
  people	
  in	
  
 various	
  stages	
  of	
  the	
  journey"	
  	
  	
  
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
à  Let	
  the	
  patient	
  take	
  control	
  of	
  the	
  journey	
  
à  To	
  create	
  consistent	
  contact	
  point	
  for	
  adherence	
  
à  Prevent	
  inaccurate	
  translation	
  
	
  


 "I	
  don't	
  really	
  understand	
  those	
  difficult	
  
 medical	
  terms.	
  Sometimes	
  I	
  need	
  to	
  call	
  
 my	
  daddy	
  to	
  do	
  further	
  interpretation.”	
  	
  
 ~	
  Pakistani	
  boy	
  	
  	
  
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
à  Let	
  the	
  patient	
  take	
  control	
  of	
  the	
  journey	
  
à  To	
  create	
  consistent	
  contact	
  point	
  for	
  adherence	
  
à  Prevent	
  inaccurate	
  translation	
  
à  Make	
  use	
  of	
  the	
  waiting	
  time	
  
	
  

 "	
  In	
  hospital	
  ,	
  is	
  always	
  waiting,	
  waiting.	
  I	
  
 have	
  brought	
  newspaper	
  to	
  kill	
  time."	
  	
  	
  
 ~	
  GURUNG,	
  Sujan	
  
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
à  Let	
  the	
  patient	
  take	
  control	
  of	
  the	
  journey	
  
à  To	
  create	
  consistent	
  contact	
  point	
  for	
  adherence	
  
à  Prevent	
  inaccurate	
  translation	
  
à  Make	
  use	
  of	
  the	
  waiting	
  time	
  
	
  
 Emotional Aspects
 "	
  In	
  hospital	
  ,	
  is	
  always	
  waiting,	
  waiting.	
  I	
  
 have	
  brought	
  newspaper	
  to	
  kill	
  time."	
  	
  	
  
 ~	
  GURUNG,	
  Sujan	
  
Insights	
  
	
  
à	
  Build	
  confidence	
  for	
  EM	
  patients	
  and	
  let	
  them	
  express	
  
à  Let	
  the	
  patient	
  take	
  control	
  of	
  the	
  journey	
  
à  To	
  create	
  consistent	
  contact	
  point	
  for	
  adherence	
  
à  Prevent	
  inaccurate	
  translation	
  
à  Make	
  use	
  of	
  the	
  waiting	
  time	
  
	
  
 Technical Aspects
 "	
  In	
  hospital	
  ,	
  is	
  always	
  waiting,	
  waiting.	
  I	
  
 have	
  brought	
  newspaper	
  to	
  kill	
  time."	
  	
  	
  
 ~	
  GURUNG,	
  Sujan	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
//	
  not	
  to	
  focus	
  on	
  solving	
  the	
  social	
  and	
  cultural	
  
conflicts	
  between	
  EM	
  patients	
  and	
  hospital	
  
	
  
//	
  but	
  to	
  empower	
  EM	
  patients	
  to	
  take	
  control	
  of	
  
their	
  patient	
  journey	
  through	
  effective	
  
communication	
  tools.	
  
Patient	
  Journey	
  
	
  
Patient	
  Journey	
  
	
  
//	
  not	
  to	
  highlight	
  instructions	
  warning	
  patients	
  
the	
  importance	
  of	
  medical	
  treatment	
  and	
  
exercise	
  
	
  
//	
  but	
  to	
  engage	
  young	
  patients	
  to	
  support	
  each	
  
other	
  as	
  a	
  community,	
  and	
  motivate	
  the	
  
exercise	
  through	
  their	
  habits.	
  
New	
  Interaction	
  Model	
  
//	
  not	
  to	
  redesign	
  the	
  visual	
  forms	
  of	
  charts	
  and	
  
files,	
  and	
  how	
  they	
  are	
  displayed	
  in	
  different	
  
locations	
  
	
  
//	
  but	
  to	
  develop	
  a	
  mechanism	
  of	
  transferring	
  
and	
  translating	
  important	
  patient	
  information	
  
for	
  clinics	
  to	
  wards,	
  from	
  doctor	
  to	
  nurse	
  to	
  
technicians	
  effectively.	
  
//	
  Participatory	
  design	
  approach	
  is	
  adopted	
  
to	
  actively	
  involve	
  stakeholders	
  in	
  the	
  
design	
  process	
  ensuring	
  that	
  the	
  design	
  
solutions	
  meet	
  their	
  needs	
  and	
  is	
  usable.	
  
And	
  they	
  can	
  be	
  more	
  responsive	
  and	
  
appropriate	
  to	
  the	
  users'	
  cultural,	
  
emotional,	
  and	
  physical	
  conditions.	
  
//	
  Co-­‐creation	
  and	
  evaluation	
  
workshops	
  had	
  been	
  conducted	
  
with	
  stakeholders	
  who	
  
contributed	
  a	
  lot	
  to	
  the	
  
relevancy	
  of	
  project	
  direction,	
  
content	
  as	
  well	
  as	
  the	
  usability	
  
of	
  design	
  solutions.	
  	
  	
  
Co-­‐design	
  Workshops	
  
Doctors,	
  nurse	
  and	
  management	
  people	
  involved	
  
Content	
  and	
  task	
  analysis	
  
Evaluation	
  Workshops	
  
Doctor	
  Device	
  –	
  information	
  architecture	
  
	
  
Doctor	
  Device	
  -­‐	
  paper	
  prototyping	
  
	
  
	
  
Evaluation	
  Workshops	
  
//	
  Project	
  Schedule	
  
co-­‐design	
  /	
  evaluation	
  workshops	
  are	
  continuous	
  activities	
  
towards	
  the	
  final	
  stage	
  of	
  development	
  
Challenges and Reflections
food	
  
            language	
  
                                            taboo	
  
               communica:on	
  
                               cultural	
  
  social	
      ideology	
                  religion	
  
discrimina:on	
  
                               custom	
  
solve-­‐all-­‐problems?	
  
>>	
  
solve	
  specific	
  problems	
  	
  
social	
  related	
  project?	
  
>>	
  	
  
interaction	
  design	
  project	
  
With	
  participatory	
  approach	
  
	
  
//	
  Can	
  discover	
  findings	
  that	
  secondary	
  research	
  
cannot.	
  
//	
  Can	
  observe	
  target	
  behavior	
  in	
  context	
  that	
  
generate	
  relevant	
  insights	
  for	
  design	
  
development.	
  
//	
  Can	
  put	
  ourselves	
  in	
  the	
  shoes	
  of	
  stakeholders	
  
//	
  C0-­‐design	
  /	
  evaluation	
  
workshops	
  are	
  one	
  of	
  the	
  
most	
  important	
  tools	
  for	
  
generating	
  and	
  evaluating	
  the	
  
design	
  solutions	
  whether	
  they	
  
can	
  actually	
  empower	
  the	
  
users,	
  and	
  will	
  be	
  well	
  
received.	
  	
  
//	
  the	
  communication	
  barrier	
  became	
  not	
  only	
  
the	
  problem	
  of	
  ethnic	
  minority	
  group,	
  but	
  also	
  
the	
  problem	
  of	
  the	
  designer	
  too.	
  	
  
	
  
//	
  the	
  down	
  side	
  is	
  I	
  needed	
  to	
  rely	
  on	
  
interpreters	
  for	
  translation,	
  whom	
  I	
  claimed	
  as	
  
an	
  unreliable/indirect	
  source	
  of	
  information.	
  
//	
  the	
  positive	
  side	
  of	
  it	
  was	
  that	
  I	
  could	
  put	
  
myself	
  into	
  their	
  shoes	
  and	
  share	
  their	
  
frustration	
  and	
  stress.	
  
More	
  patients	
  should	
  be	
  involved	
  in	
  co-­‐design	
  
workshops,	
  instead	
  of	
  just	
  healthcare	
  givers.	
  
//	
  forget	
  about	
  designing,	
  	
  
//	
  release	
  our	
  perception,	
  	
  
	
  
//	
  understand	
  people	
  and	
  their	
  real	
  difficulties.	
  	
  
	
  
//	
  then	
  the	
  design	
  solutions	
  will	
  find	
  their	
  way	
  to	
  
you.	
  
Thank you
                                                               




This	
  presenta:on	
  is	
  consolidated	
  with	
  the	
  project	
  materials	
  	
  from	
  Charles	
  LAW,	
  
Krupali	
  RAIYANI	
  and	
  Jackson	
  CHOI	
  

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Hospital projects - a participatory approach to interaction design

  • 1. Hospital  Projects   A  participatory  approach  to   Interaction  Design   CHOI  Chi  Kit,  Jackson        //            ICID  Conference  2011          //          11.11.2011  
  • 2.
  • 3. //  relatively  an  open  brief     //  design  opportunities  for  improving  the   medical  services  of  Pok  Oi  Hospital  
  • 4. “What are the Medical Services?”
  • 5. //  scouting  visits  to  the  hospital  
  • 6. //  to  meet  professional  health  caregivers  
  • 7. //  to  understand  the  organization  and  daily   operation    
  • 8. //  to  observe  how  patients  and  health  caregivers   are  interacting  in  the  hospital.      
  • 9. //  Potential  project  areas  have  been  identified  
  • 10.
  • 11.
  • 12. Medical experience for ethnic minority Jackson  CHOI  Chi  Kit   MDES  Interaction  Design  
  • 13. “What is in my mind” A  project  for  Ethnic  Minority  
  • 14. Ethnic minorities are facing different problems such as languages, social, cultural and religious issues in hospital.
  • 15. Ethnic minorities are facing different problems such as languages, social, cultural and religious issues in hospital. HK, emergency 急症 Filipino, kagipitan Pakistani, !"#$%&, Urdu Indonesian, darurat Nepalese, Nepali
  • 16. Ethnic minorities are facing different problems such as languages, social, cultural and religious issues in hospital. Taboo, food, customs, ideology (sex, body) Hinduism / Nepalese Muslims / Indonesian Islam / Pakistani
  • 17. Preliminary  Proposition   •  It  is  a  conflicts  between  different  cultures   •  Minority  VS  Majority  =  Inferior  VS  superior   •  Discrimination  
  • 18. Preliminary  Proposition   •  It  is  a  conflicts  between  different  cultures   •  Minority  VS  Majority  =  Inferior  VS  superior   •  Discrimination   BIG Problem is far too
  • 19. “Preconception is a hallucinogen for designers!” You  seem  to  know  what  you  actually  don’t!  
  • 20. Research  and  analysis  methodologies  
  • 21. Service  Design     //  relevance   //  usability     //  desirability  and     //  compassion       are  the  keys  to  success;  all  of  these  criteria  are  user-­‐centered  
  • 22. Service  Design     } //  relevance   customer   //  usability     behavior   //  desirability  and     emotional   //  compassion     values     are  the  keys  to  success;  all  of  those  criteria  are  user-­‐centered   that  lead  to  customer  behaviors  and  emotional  values.    
  • 23. “not what we want to design for the projects but what is required for a reliable, effective and comforting patient journey.” behavior  +  emotion  
  • 24.         %     20 of  patient  population  
  • 25. Ingredients  of  research   People   Tasks   Trust   insights  
  • 26. //  we  should  encourage  the  participation  and   contribution  of  all  stakeholders  in  the  very  early   stage  of  development  
  • 27. Pa:ent  family   Management   pa:ents   Social  workers   Healthcare  givers  
  • 28. they are real people, not data
  • 29. By  understanding  the  real  problems  and   difficulties  faced  by  the  stakeholders…    
  • 30. By  understanding  the  real  problems  and   difficulties  faced  by  the  stakeholders,       Insights  and  solutions  will  emerge  automatically.  
  • 31. //  interviews  were  conducted  with  stakeholders   who  had  provided  useful  views  and  suggestions   about  concerns  and  problems  from  different   perspectives.    
  • 32. “the  one  thing  that  would   make  my  job  easier  ,  is   more  time”  
  • 33.
  • 34.
  • 35. “Without  interpreter,  they  cannot   explain  themselves  fully,  have   phobia,  and  prefer  not  go  to  the   hospital."       ~  Ms.  Samaira  Rehmat,  SSCEM  
  • 36. "I  don't  really  understand  those   difficult  medical  terms.     ~  Pakistani  boy      
  • 37. "Core  informa,on  is  important   for  sickness,  not-­‐so-­‐core  info  may   influence  the  experience."   ~  Rita  Kong,  Manager,  Community  Health  Center    
  • 38. Healthcare  Givers  Said   //  Don’t  show  up  in  appointed  date   //  Don’t  understand  medical  instructions   //  Forget  to  bring  medical  reports   //  May  use  identity  of  someone  else  just  to  save  money     Patients  Said   //  Why  I  need  to  wait  for  4  hours?   //  I  get  Panadol  for  all  illnesses   //  I  need  to  bring  along  my  kids  to  the  hospital  or  else  no   one  is  taking  care  of  them   //  Doctors  are  exaggerating  my  illness   //  Difficult  to  use  telephone  reservation  system   //  I  am  lost  in  hospital  
  • 39. Difficulties     //  Ethnic  minorities  are  facing  various  difficulties  such  as   language,  cultural,  and  emotional  issues  in  medical   service  in  POH.       Being  ignored   Sense  of  helplessness   Stressed  and  lost    
  • 40. We know the people,research   Ingredients  of   what about their task? People   Tasks   Trust   insights  
  • 41. “What about Current Patient Journey?” A  project  for  Ethnic  Minority  
  • 42. //  To  collect  direct  evidence  of  patients’  medical   experience,  research  methods  like  field   observation  and  shadowing  have  been  used  for   patients  in  different  departments  and  clinics.  
  • 43. Field  Research     Health  Check  seminar  
  • 44. Triage  Station     EM  patients  shadowing  in  patient  journey   12  EM  patients  for  10  hours      
  • 45. Consultation  Room     EM  patients  shadowing  in  patient  journey   12  EM  patients  for  10  hours  
  • 47. Patient  Journey     interpreters  
  • 55. ? “What did I learn from these ?”
  • 56. Insights     à  Build  confidence  for  EM  patients  and  let  them  express     “Without  interpreter,  they  cannot  explain   themselves  fully,  have  phobia,  and  prefer   not  go  to  the  hospital."       ~  Ms.  Samaira  Rehmat,  SSCEM  
  • 57. Insights     à  Build  confidence  for  EM  patients  and  let  them  express   à  Let  the  patient  take  control  of  the  journey     “Doctor  and  nurse  tend  to  talk  to   interpreters  instead  of  to  EM  patient”   ~  from  observation  in  shadowing      
  • 58. Insights     à  Build  confidence  for  EM  patients  and  let  them  express   à  Let  the  patient  take  control  of  the  journey   à  To  create  consistent  contact  point  for  adherence   "  One  patient  meets  many  people  in   various  stages  of  the  journey"      
  • 59. Insights     à  Build  confidence  for  EM  patients  and  let  them  express   à  Let  the  patient  take  control  of  the  journey   à  To  create  consistent  contact  point  for  adherence   à  Prevent  inaccurate  translation     "I  don't  really  understand  those  difficult   medical  terms.  Sometimes  I  need  to  call   my  daddy  to  do  further  interpretation.”     ~  Pakistani  boy      
  • 60. Insights     à  Build  confidence  for  EM  patients  and  let  them  express   à  Let  the  patient  take  control  of  the  journey   à  To  create  consistent  contact  point  for  adherence   à  Prevent  inaccurate  translation   à  Make  use  of  the  waiting  time     "  In  hospital  ,  is  always  waiting,  waiting.  I   have  brought  newspaper  to  kill  time."       ~  GURUNG,  Sujan  
  • 61. Insights     à  Build  confidence  for  EM  patients  and  let  them  express   à  Let  the  patient  take  control  of  the  journey   à  To  create  consistent  contact  point  for  adherence   à  Prevent  inaccurate  translation   à  Make  use  of  the  waiting  time     Emotional Aspects "  In  hospital  ,  is  always  waiting,  waiting.  I   have  brought  newspaper  to  kill  time."       ~  GURUNG,  Sujan  
  • 62. Insights     à  Build  confidence  for  EM  patients  and  let  them  express   à  Let  the  patient  take  control  of  the  journey   à  To  create  consistent  contact  point  for  adherence   à  Prevent  inaccurate  translation   à  Make  use  of  the  waiting  time     Technical Aspects "  In  hospital  ,  is  always  waiting,  waiting.  I   have  brought  newspaper  to  kill  time."       ~  GURUNG,  Sujan  
  • 65. //  not  to  focus  on  solving  the  social  and  cultural   conflicts  between  EM  patients  and  hospital     //  but  to  empower  EM  patients  to  take  control  of   their  patient  journey  through  effective   communication  tools.  
  • 68. //  not  to  highlight  instructions  warning  patients   the  importance  of  medical  treatment  and   exercise     //  but  to  engage  young  patients  to  support  each   other  as  a  community,  and  motivate  the   exercise  through  their  habits.  
  • 69.
  • 71. //  not  to  redesign  the  visual  forms  of  charts  and   files,  and  how  they  are  displayed  in  different   locations     //  but  to  develop  a  mechanism  of  transferring   and  translating  important  patient  information   for  clinics  to  wards,  from  doctor  to  nurse  to   technicians  effectively.  
  • 72. //  Participatory  design  approach  is  adopted   to  actively  involve  stakeholders  in  the   design  process  ensuring  that  the  design   solutions  meet  their  needs  and  is  usable.   And  they  can  be  more  responsive  and   appropriate  to  the  users'  cultural,   emotional,  and  physical  conditions.  
  • 73. //  Co-­‐creation  and  evaluation   workshops  had  been  conducted   with  stakeholders  who   contributed  a  lot  to  the   relevancy  of  project  direction,   content  as  well  as  the  usability   of  design  solutions.      
  • 74. Co-­‐design  Workshops   Doctors,  nurse  and  management  people  involved  
  • 75. Content  and  task  analysis  
  • 77. Doctor  Device  –  information  architecture    
  • 78. Doctor  Device  -­‐  paper  prototyping      
  • 80. //  Project  Schedule   co-­‐design  /  evaluation  workshops  are  continuous  activities   towards  the  final  stage  of  development  
  • 81.
  • 83. food   language   taboo   communica:on   cultural   social   ideology   religion   discrimina:on   custom  
  • 84.
  • 85. solve-­‐all-­‐problems?   >>   solve  specific  problems    
  • 86. social  related  project?   >>     interaction  design  project  
  • 87. With  participatory  approach     //  Can  discover  findings  that  secondary  research   cannot.   //  Can  observe  target  behavior  in  context  that   generate  relevant  insights  for  design   development.   //  Can  put  ourselves  in  the  shoes  of  stakeholders  
  • 88. //  C0-­‐design  /  evaluation   workshops  are  one  of  the   most  important  tools  for   generating  and  evaluating  the   design  solutions  whether  they   can  actually  empower  the   users,  and  will  be  well   received.    
  • 89. //  the  communication  barrier  became  not  only   the  problem  of  ethnic  minority  group,  but  also   the  problem  of  the  designer  too.       //  the  down  side  is  I  needed  to  rely  on   interpreters  for  translation,  whom  I  claimed  as   an  unreliable/indirect  source  of  information.   //  the  positive  side  of  it  was  that  I  could  put   myself  into  their  shoes  and  share  their   frustration  and  stress.  
  • 90. More  patients  should  be  involved  in  co-­‐design   workshops,  instead  of  just  healthcare  givers.  
  • 91. //  forget  about  designing,     //  release  our  perception,       //  understand  people  and  their  real  difficulties.       //  then  the  design  solutions  will  find  their  way  to   you.  
  • 92. Thank you This  presenta:on  is  consolidated  with  the  project  materials    from  Charles  LAW,   Krupali  RAIYANI  and  Jackson  CHOI