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Designing from a Socio-Technical Systems Perspective

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Designing Integrated Care Ecosystems

Abstract

This chapter argues that a care ecosystem can in fact be designed to provide higher levels of care integration—even though, how we think of ecosystems, the design process, design elements and design theory needs some adjustment from that which seems to work with single organizations or even networks. We address the following questions. What is meant by the noun design and what is the activity of designing? And what gets designed, by whom and how? … particularly in relationship to the designing of ecosystems. We also explain why we see integrated care as an issue of organizing, and therefore as a potential object of (organizational) design. Finally we describe the STS Design perspective and principles that may guide such designing. We close with a description of the special challenges in ecosystem design and we preview 15 case stories, which were submitted in response to widespread invitation sent by us to members of the STS design research and practice community, as well as people in health care, be they policy developers, clinicians or consultants.

The urge to design—to consider a situation, imagine a better situation and act, to create that improved situation—goes back to our pre-human ancestors.

—Ezio Manzini

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Correspondence to Ezra Dessers .

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Mohr, B.J., Dessers, E. (2019). Designing from a Socio-Technical Systems Perspective. In: Mohr, B., Dessers, E. (eds) Designing Integrated Care Ecosystems. Springer, Cham. https://doi.org/10.1007/978-3-030-31121-6_4

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