Skip to main content

Strategic Design Abilities for Integrated Care Innovation

  • Chapter
  • First Online:
Service Design and Service Thinking in Healthcare and Hospital Management

Abstract

When introducing novel solutions in healthcare, such as eHealth services, organizations frequently struggle with their adoption. The failure to address the needs of many users (healthcare workers, patients, and informal caregivers) is commonly part of the problem. Strategic designers bridge the gap between people’s needs, new technologies, and business viability. This is of great value in healthcare innovation where this integrated approach is often missing. This chapter introduces a practical framework of four strategic design abilities to address such challenges: future visioning, modeling value exchange relations, orchestrating service co-creation, and transforming organizational networks. Alongside we describe a strategic design project for a multinational healthcare technology company in The Netherlands where these abilities were applied. This resulted in a product-service system concept that facilitated integrated care innovation in the company.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ackoff, R. L. (1994). Systems thinking and thinking systems. System Dynamics Review, 10(2–3), 175–188.

    Article  Google Scholar 

  • Akaka, M. A., Vargo, S. L., & Lusch, R. F. (2013). The complexity of context: A service ecosystems approach for international marketing. Journal of Marketing Research, 21(4), 1–20.

    Google Scholar 

  • Akin, Ö. (1990). Necessary conditions for design expertise and creativity. Design Studies, 11(2), 107–113.

    Article  Google Scholar 

  • Baines, T. S., Lightfoot, H. W., Evans, S., Neely, A., Greenough, R., Peppard, J., et al. (2007). State-of-the-art in product-service systems. Proceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture, 221(10), 1543–1552.

    Article  Google Scholar 

  • Barrett, M., Davidson, E., Prabhu, J., & Vargo, S. L. (2015). Service innovation in the digital age: Key contributions and future directions. MIS Quarterly, 39(1), 135–154.

    Article  Google Scholar 

  • Bauld, L., Judge, K., Barnes, M., Benzeval, M., Mackenzie, M., & Sullivan, H. (2005). Promoting social change: The experience of Health Action Zones in England. Journal of Social Policy, 34(3), 427–445.

    Article  Google Scholar 

  • Bjögvinsson, E., Ehn, P., & Hillgren, P. A. (2012). Design things and design thinking: Contemporary participatory design challenges. Design Issues, 28(3), 101–116.

    Article  Google Scholar 

  • Buchanan, R. (1992). Wicked problems in design thinking. Design Issues, 8(2), 5–21.

    Article  Google Scholar 

  • Buchenau, M., & Suri, J. F. (2000) Experience prototyping. In D. Boyarski & W. A. Kellogg (eds.) Proceedings of the 3rd conference on designing interactive systems: Processes, practices, methods, and techniques (pp. 424–433). Association for Computer Machinery (ACM), New York, August 17–19, 2000.

    Google Scholar 

  • Buijs, J. (2003). Modeling product innovation processes, from linear logic to circular chaos. Creativity and Innovation Management, 12(2), 76–93.

    Article  Google Scholar 

  • Burns, C., Cottam, H., Vanstone, C., & Winhall, J. (2006). Transformation design. RED paper 2, Design Council, London.

    Google Scholar 

  • Calabretta, G., Gemser, G., & Hekkert, P. (2014) Extending design leadership to innovation strategy: Roles and tools. In E. Bohemia, A. Rieple, J. Liedtka, & R. Cooper, (Eds.), 19th DMI: Academic design management conference. Design management in an era of disruption (pp. 1–21). Design Management Institute, Boston, September 2–4, 2014.

    Google Scholar 

  • Calabretta, G., & Kleinsmann, M. (2017). Technology-driven evolution of design practices: Envisioning the role of design in the digital era. Journal of Marketing Management, 33(3–4), 292–304.

    Article  Google Scholar 

  • Celaschi, F., Celi, M., & García, L. M. (2011). The extended value of design: An advanced design perspective. Design Management Journal, 6(1), 6–15.

    Article  Google Scholar 

  • Checkland, P. (1999). Systems thinking. In W. L. Currie & B. Galliers (Eds.), Rethinking management information systems: An interdisciplinary perspective (pp. 45–56). Oxford: Oxford University Press.

    Google Scholar 

  • Cross, N. (1982). Designerly ways of knowing. Design Studies, 3(4), 221–227.

    Article  Google Scholar 

  • Cross, N. (1990). The nature and nurture of design ability. Design Studies, 11(3), 127–140.

    Article  Google Scholar 

  • Cross, N. (1999). Natural intelligence in design. Design Studies, 20(1), 25–39.

    Article  Google Scholar 

  • Cross, N. (2006). Designerly ways of knowing. London: Springer.

    Google Scholar 

  • Cross, N. (2011). Design thinking: Understanding how designers think and work. London: Bloomsbury Academic.

    Book  Google Scholar 

  • Darke, J. (1979). The primary generator and the design process. Design Studies, 1(1), 36–44.

    Article  Google Scholar 

  • Ehn, P. (2016). Design, democracy and work: Exploring the Scandinavian participatory design tradition. Amsterdam: Elsevier.

    Google Scholar 

  • Ekman, I., Swedberg, K., Taft, C., Lindseth, A., Norberg, A., Brink, E., et al. (2011). Person-centered care: Ready for prime time. European Journal of Cardiovascular Nursing, 10(4), 248–251.

    Article  Google Scholar 

  • Eysenbach, G. (2001). What is e-health? Journal of Medical Internet Research, 3(2), E20.

    Article  Google Scholar 

  • Gardien, P., Djajadiningrat, T., Hummels, C., & Brombacher, A. (2014). Changing your hammer: The implications of paradigmatic innovation for design practice. International Journal of Design, 8(2), 119–139.

    Google Scholar 

  • Goodwin, N. (2016). Understanding and evaluating the implementation of integrated care: A ‘Three Pipe’ problem. International Journal of Integrated Care, 16(4), 19.

    Google Scholar 

  • Jones, P. H. (2014). Systemic design principles for complex social systems. In G. S. Metcalf (Ed.), Social systems and design, Translational Systems Sciences 1 (pp. 91–128). Tokyo: Springer.

    Chapter  Google Scholar 

  • Kaplan, B., & Harris-Salamone, K. D. (2009). Health IT success and failure: Recommendations from literature and an AMIA workshop. Journal of the American Medical Informatics Association, 16(3), 291–299.

    Article  Google Scholar 

  • Kimbell, L. (2011). Designing for service as one way of designing services. International Journal of Design, 5(2), 41–52.

    Google Scholar 

  • Kleinsmann, M., Buijs, J., & Valkenburg, R. (2010). Understanding the complexity of knowledge integration in collaborative new product development teams: A case study. Journal of Engineering and Technology Management, 27(1), 20–32.

    Article  Google Scholar 

  • Lawson, B. (1980). How designers think: The design process demystified. Routledge. Oxford: Architectural Press.

    Google Scholar 

  • Lawson, B., & Dorst, K. (2013). Design expertise. New York: Architectural Press/Routledge.

    Book  Google Scholar 

  • Leviss, J., & Charney, P. (2013). HIT or miss: Lessons learned from health information technology implementations. Chicago: AHIMA Press.

    Google Scholar 

  • Lin, M., Hughes, B., Katica, M., Dining-Zuber, C., & Plsek, P. (2011). Service design and change of systems: Human-centered approaches to implementing and spreading service design. International Journal of Design, 5(2), 73–86.

    Google Scholar 

  • Manzini, E., & Coad, R. (2015). Design, when everybody designs: An introduction to design for social innovation. Cambridge, MA: MIT Press.

    Book  Google Scholar 

  • Manzini, E., & Jégou, F. (2003). Sustainable everyday. Design Philosophy Papers, 1(4), 187–191.

    Article  Google Scholar 

  • Manzini, E., & Vezzoli, C. (2003). A strategic design approach to develop sustainable product service systems: Examples taken from the “environmentally friendly innovation” Italian prize. Journal of Cleaner Production, 11(8), 851–857.

    Article  Google Scholar 

  • Mejia Sarmiento, J. R., & Simonse, W. L. (2015) Design of vision concepts to explore the future: Nature, context and design techniques. Paper presented at the 5th CIM Community Meeting, Enschede, September, 1–2, 2015.

    Google Scholar 

  • Meroni, A. (2008). Strategic design: Where are we now? Reflection around the foundations of a recent discipline. Strategic Design Research Journal, 1(1), 31–28.

    Article  Google Scholar 

  • Morelli, N. (2006). Developing new product service systems (PSS): Methodologies and operational tools. Journal of Cleaner Production, 14(17), 1495–1501.

    Article  Google Scholar 

  • Mullaney, T., Pettersson, H., Nyholm, T., & Stolterman, E. (2012). Thinking beyond the cure: A case for human-centered design in cancer care. International Journal of Design, 6(3), 27–39.

    Google Scholar 

  • Oh, H., Rizo, C., Enkin, M., & Jadad, A. (2005). What is eHealth (3): A systematic review of published definitions. Journal of Medical Internet Research, 7(1), e1.

    Article  Google Scholar 

  • Oosterholt, R., Simonse, L., Boess, S., & Vehmeijer, S. (2017). Designing a care pathway model–a case study of the outpatient total hip arthroplasty care pathway. International Journal of Integrated Care, 17(1), 1–14.

    Article  Google Scholar 

  • Perks, H., Cooper, R., & Jones, C. (2005). Characterizing the role of design in new product development: An empirically derived taxonomy. Journal of Product Innovation Management, 22(2), 111–127.

    Article  Google Scholar 

  • Perks, H., Gruber, T., & Edvardsson, B. (2012). Co-creation in radical service innovation: A systematic analysis of microlevel processes. Journal of Product Innovation Management, 29(6), 935–951.

    Article  Google Scholar 

  • Porter, M. E., & Teisberg, E. O. (2006). Redefining health care: Creating value-based competition on results. Boston, MA: Harvard Business Press.

    Google Scholar 

  • Raijmakers, B., Vervloed, J., & Wierda, K. J. (2015). Orchestration. CRISP Magazine #5.

    Google Scholar 

  • Sangiorgi, D. (2011). Transformative services and transformation design. International Journal of Design, 5(2), 29–40.

    Google Scholar 

  • Seidel, V. P., & Fixson, S. K. (2013). Adopting design thinking in novice multidisciplinary teams: The application and limits of design methods and reflexive practices. Journal of Product Innovation Management, 30(1), 19–33.

    Article  Google Scholar 

  • Shaw, S., Rosen, R., & Rumbold, B. (2011). An overview of integrated care in the NHS: What is integrated care? London: Nuffield Trust.

    Google Scholar 

  • Simon, H. A. (1990). Prediction and prescription in systems modeling. Operations Research, 38(1), 7–14.

    Article  Google Scholar 

  • Simonse, L. (2014). Modeling business models. Design Issues, 30(4), 67–82.

    Article  Google Scholar 

  • Simonse, L. W. L., & Badke-Schaub, P. G. (2015). Business model design through a designer’s lens: Translating, transferring and transforming cognitive configurations into action. Paper presented at 31st EGOS: European Group for Organisation Studies Colloqium-SGW 65, Athens, July, 2–4, 2015.

    Google Scholar 

  • Stacey, P. K., & Tether, B. S. (2015). Designing emotion-centred product service systems: The case of a cancer care facility. Design Studies, 40(1), 85–118.

    Article  Google Scholar 

  • Tukker, A., & Tischner, U. (2006). Product-services as a research field: Past, present and future. Reflections from a decade of research. Journal of Cleaner Production, 14(17), 1552–1556.

    Article  Google Scholar 

  • Valencia, A., Person, O., & Snelders, D. (2013). An in-depth case study on the role of industrial design in a business-to-business company. Journal of Engineering and Technology Management, 30(4), 363–383.

    Article  Google Scholar 

  • van Meeuwen, D. P., van Walt Meijer, Q. J., & Simonse, L. W. (2015). Care models of eHealth services: A case study on the design of a business model for an online precare service. JMIR Research Protocols, 4(1), e32.

    Article  Google Scholar 

  • Vargo, S. L., & Lusch, R. F. (2011). It’s all B2B … and beyond: Toward a systems perspective of the market. Industrial Marketing Management, 40(2), 181–187.

    Article  Google Scholar 

  • Vergragt, P. J., & Brown, H. S. (2007). Sustainable mobility: From technological innovation to societal learning. Journal of Cleaner Production, 15(11), 1104–1115.

    Article  Google Scholar 

  • Wildevuur, S. E., & Simonse, L. W. (2015). Information and communication technology-enabled person-centered care for the “big five” chronic conditions: Scoping review. Journal of Medical Internet Research, 17(3), e77.

    Article  Google Scholar 

  • Yu, E., & Sangiorgi, D. (2014). Service design as an approach to new service development: Reflections and futures studies. In D. Sangiorgi, D. Hands, & E. Murphy (Eds.). ServDes. 2014. Fourth Service Design and Innovation Conference “Service Futures”, Lancaster, (pp. 194–204). Linköping University Electronic Press, Linköping, April 9–11, 2014.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rafael Canales Durón .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Canales Durón, R., Simonse, L., Kleinsmann, M. (2019). Strategic Design Abilities for Integrated Care Innovation. In: Pfannstiel, M.A., Rasche, C. (eds) Service Design and Service Thinking in Healthcare and Hospital Management. Springer, Cham. https://doi.org/10.1007/978-3-030-00749-2_13

Download citation

Publish with us

Policies and ethics