Designing for wellbeing

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The allocation of resources is mainly done at a system level by setting up rules that ensure appropriate thresholds, while the assessment of treatment needs is done at clinics by healthcare staff. Information technology (IT) has been seen as a means for nurses and doctors to provide the best care possible while acting within the frames set by the administration. However, the complexity of the existing IT systems, paired with the challenging procedures of public requests for tenders for municipal investments, have resulted in a situation where the present systems seem to have put the burden of additional desk work on healthcare professionals rather than freeing more time for patient care. In addition, innovations are often restricted to what the available infrastructure and software technology can accommodate within the smallest common denominator of technical feasibility, instead of truly addressing end-user needs. Valuable data that could help make the system more efficient remains unused. At the same time, healthcare units have refined their own local workflows to compensate for the IT shortcomings – nurses and doctors are required to adjust their work to the IT limitations instead of the technology being adjustable to their needs. This chapter describes three student projects carried out with Helsinki Health Care Centre (HHCC) that address the future of health IT. The starting point for our work was to search for design solutions based on the needs of both healthcare providers and citizens. We started from desirable outcomes without being too restricted by the potential feasibility of their implementation into the existing IT infrastructure. Nonetheless, it was part of the brief to have the concepts grounded in the realities of the public health sector and its systems. Therefore, each future health IT project had a concrete starting point within on-going developments at HHCC and the solutions proposed could be implemented today with little to medium effort. 126 · Reducing social distance through co-design
Social distance as a design challenge For designers, the public healthcare context is challenging due to the complexity emerging from the legally bound public system, multi-layered and intricate bureaucracy, inflexible IT systems and heterogeneous and site-specific requirements. Yet the biggest challenge is the conflict of interest between citizens demanding the best care and their providers forced to act within a framework of rules that limit and rigidly distribute the scarce resources. This brings forth four groups of key stakeholders in our process: The healthcare system, represented by administrators who look at health services in terms of the costs incurred, the volume of patients treated, the scarcity of the available resources and the efficiency of their operations. Its objective is to establish rules and build systems that ensure the accomplishment of set goals. The front-line healthcare personnel, engaged in direct interactions with patients, who provide care to individual patients as their main responsibility. Healthcare personnel, by profession, have a more patient-centric view, but their work is restricted within the structures of the public healthcare system. The citizens, also referred to as patients or clients, expect to receive the best individual care possible without being fully aware of the challenges facing the healthcare system at large and the healthcare professionals in particular. The designers, who were in our case Master’s level students involved as external experts, bring along tools and skills for creative problem solving. They first need to immerse themselves in the realities of the project stakeholders in order to gain the insights for the creation of concepts that benefit all of them. In the context of the cases presented here, both healthcare personnel and citizens can be users of the proposed IT service concepts. Therefore, both groups are mutually referred to as users. 127 · Reducing social distance through co-design
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Edited by: Turkka Keinonen & Kirsik
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Designing for wellbeing Aalto Unive
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Concepts Grannygotchi13 Yhteiskiitu
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still using the language of design.
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Elements of design for wellbeing Af
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Figure 1: The elements of design fo
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Grannygotchi This innovation makes
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ways. With the demographic change o
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environments. In chapter 5, Tjhien
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We started 365 Wellbeing with a som
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service concept presentations is pa
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Set quality standards for non-mater
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2 The cities on design Janos Honkon
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protection… Maybe the thing that
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Lumipallo Lumipallo (Snowball) is a
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Overall, the partners were happy wi
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scheduling clashes are solved by ju
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Siblings The process of casting a c
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“It’s very positive that someon
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Designers are used to being handed
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finding shortcuts through simplific
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Mind Mate The Mind Mate concept pro
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Transfer Ticket Transfer Ticket 6 i
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posed during the exercise. In this
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Action Painting Wagon The Action Pa
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he built the project on, and on whi
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Absolute Custody Alcohol is the big
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Discussion User-inspired practice p
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4 Co-design with the public sector
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In Rethinking Villa Breda, the firs
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Ajo The Ajo (Ride) concept supports
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depression in later life is the dea
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These three examples of framing the
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eferences, discussion and reflectio
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Memo A last will and testament is n
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increasingly seen as active users o
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Described above is one of the six p
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Page 77 and 78: other disciplines. The scenarios th
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Page 81 and 82: Peloton Jokapäivä The vast majori
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Page 87 and 88: 6 Design studio in the field Katja
Page 89 and 90: in Mellunkylä were built in the 19
Page 91 and 92: afternoon with us. Two other events
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Page 97 and 98: involved knew that we had only eigh
Page 99 and 100: Tangible inspiration package for in
Page 101 and 102: Based on the same survey, the inhab
Page 103 and 104: Connection This project aimed to co
Page 105 and 106: COMMUNITY Learning as belonging IDE
Page 107 and 108: 1 Observation phase - getting a fir
Page 109 and 110: Some participants, especially the y
Page 111 and 112: PEOPLE kannelmaki residents and rep
Page 113 and 114: neighbourhood’s social wellbeing.
Page 115 and 116: Smoking Area The goal of achieving
Page 117 and 118: Villa Breda senior village Villa Br
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Page 123 and 124: The Cube A student team tried to fi
Page 125: 9 Reducing social distance through
Page 129 and 130: Throughout our project, it turned o
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Page 133 and 134: A patient portal displays previous
Page 135 and 136: Lapsen kanssa - solving maternity c
Page 137 and 138: oireeton.fi - awareness of chlamydi
Page 139 and 140: of chlamydia. The service presents
Page 141 and 142: understanding of each key stakehold
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Page 145 and 146: Turkka Keinonen, DA, is a professor
Page 147: Kirsi Niinimäki, DA, is a post-doc
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Designing for wellbeing

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