Skip to main content

Applying Tool-Kit-Based Modeling and Serious Play: A Japanese Case Study on Developing a Future Vision of a Regional Health Care System

  • Chapter
  • First Online:

Abstract

To ensure sustainable development in health care systems and to bring about workable ideas which are widely accepted, there must be dialogue and collaboration between highly diverse stakeholder groups, such as medical practitioners, managers and administrators as well as health care policy makers and patients and their families. However, diversity between these actors requires methodologies that enable the participants working on change and development processes together. It is important to understand each other’s work situations, demands and constraints to collaborate on future ideas. Therefore, we suggest a so-called serious play methodology which combines tool-kit based modelling using LEGO® building blocks and story-telling to foster the development of shared understandings between different stakeholders. In an empirical example of a system development process between health care practitioners in Japan, we describe and discuss the application of this methodology.

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
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

Learn about institutional subscriptions

References

  • Abbott A (1988) The system of professions: an essay on the division of expert labor. The University of Chicago press, Chicago, IL

    Google Scholar 

  • Amabile TM (1996) Creativity in context. Westview Press, Boulder, CO

    Google Scholar 

  • Bandyopadhyay J, Hayes GK (2009) Developing a framework for the continuous improvement of patient care in United States hospitals: a process approach. Int J Manage 26(2):179–185

    Google Scholar 

  • Best K (2006) Design management: managing design strategy, process and implementation. AVA Academia, Lausanne

    Google Scholar 

  • Boje DM (1991) Organizations as storytelling networks: a study of story performance in an office-supply firm. Adm Sci Q 36:106–126

    Article  Google Scholar 

  • Brown T (2009) Change by design. How design thinking transforms organizations and in-spires innovation. Harper Collins, New York, NY

    Google Scholar 

  • Buur J, Matthews B (2008) Participatory innovation. Int J Innovat Manag 12(3):255–273

    Article  Google Scholar 

  • Chambliss DF (1996) Beyond caring: hospitals, nurses, and the social organization of ethics. The University of Chicago press, Chicago, IL

    Google Scholar 

  • Cropley A (2006) In praise of convergent thinking. Creativ Res J 18:391–404

    Article  Google Scholar 

  • Cross N (1999) Natural intelligence in design. Des Stud 20(1):25–39

    Article  Google Scholar 

  • Cross N (2011) Design thinking. Understanding how designers think and work. Berg Publishers, Oxford

    Google Scholar 

  • Engeström Y (2008) From teams to knots. Activity-theoretical studies of collaboration and learning at work. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Freidson E (1970) Professional dominance: the social structure of medical care. Aldine Publishing, Chicago, IL

    Google Scholar 

  • Ginn GO (2006) Community orientation, strategic flexibility, and financial performance in hospitals. J Healthc Manag 51(2):111–121

    Google Scholar 

  • Griffith JR, White KR (2005) The revolution in hospital management. J Healthc Manag 54(3):170–189

    Google Scholar 

  • Heracleous L, Jacobs C (2011) Crafting strategy: embodied metaphors in practice. University Press, Cambridge

    Book  Google Scholar 

  • Hofstede G (1991) Cultures and organization: software of the mind. McGraw-Hill International, London

    Google Scholar 

  • Jacobs C, Heracleous L (2006) Constructing shared understanding: the role of embodied metaphors in organization development. J Appl Behav Sci 24(2):207–226

    Article  Google Scholar 

  • Jensen E (2005) Teaching with the brain in mind. Association for Supervision and Curriculum Development, Alexandria

    Google Scholar 

  • Kerosuo H (2006) Boundaries in action. An activity-theoretical study of development, learning and change in health care for patients with multiple and chronic illnesses. Helsinki University Press, Helsinki

    Google Scholar 

  • Khatri N, Wells J, McKune J, Brewer M (2006) Strategic human resource management issues in hospitals: a study of a university and a community hospital. Hosp Top 84(4):9–20

    Article  Google Scholar 

  • Larson MS (1977) The rise of professionalism: a sociological analysis. University of California Press, Berkley, CA

    Google Scholar 

  • Lee Y (2008) Design participation tactics: the challenges and new roles for designers in the co-design process. CoDesign 4(1):31–50

    Article  Google Scholar 

  • Ministry of Health, Labour and Welfare in Japan (2013) The current situation and the future direction of the long-term care insurance system in Japan – with a focus on the housing for the elderly (English slides downloaded from http://www.mhlw.go.jp/english/policy/care-welfare/care-welfare-elderly/dl/ri_130311-01.pdf. Accessed 28 Feb 2014)

  • Ministry of Health, Labour and Welfare in Japan (2014). Annual health, labour, and welfare report 2012–2013 (English figures and tables downloaded from http://www.mhlw.go.jp/english/wp/wp-hw7/dl/02e.pdf. Accessed 28 Feb 2014)

  • Mintzberg H (1989) Mintzberg on management – inside our strange world of organizations. The Free Press, New York, NY

    Google Scholar 

  • Nishihara E (2012) Healthcare information systems trends in Japan. In: Kano S (ed) Introduction to global healthcare systems. Waseda University Press, Tokyo, pp 87–110

    Google Scholar 

  • Orr JE (1996) Talking about machines: an ethnography of a modern job. Cornell University Press, Ithaca, NY

    Google Scholar 

  • Orr JE (2006) Ten years of talking about machines. Organ Stud 27(12):1805–1820

    Article  Google Scholar 

  • Papert S, Harel I (eds) (1991) Constructionism. Ablex Publishing Corporation, Norwood

    Google Scholar 

  • Prybill LD (2003) Challenges and opportunities facing health administration practice and education. J Healthc Manag 48(4):223–231

    Google Scholar 

  • Reed R, Storrud-Barnes S, Jessup L (2012) How open innovation affects the drivers of competitive advantage: trading the benefits of IP creation and ownership for free invention. Manag Decis 50(1):58–73

    Article  Google Scholar 

  • Rondeau KV, Wagar TH (2002) Managing the workforce reduction: hospital CEO perceptions of organizational dysfunction. J Healthc Manag 45(6):161–176

    Google Scholar 

  • Roos J, Victor B (1999) Towards a new model of strategy-making as serious play. Eur Manage J 17(4):348–355

    Article  Google Scholar 

  • Roos J, Victor B, Statler M (2004) Playing seriously with strategy. Long Range Plann 37:549–568

    Article  Google Scholar 

  • Sanders E, Stappers P (2008) Co-creation and the new landscapes of design. CoDesign 4(1):5–18

    Article  Google Scholar 

  • Sannino A, Ellis V (2014) Activity-theoretical and sociocultural approaches to learning and collective creativity: an introduction. In: Sannino A, Ellis V (eds) Learning and collective creativity. Activity-theoretical and sociocultural studies. Routledge, London, pp 1–19

    Google Scholar 

  • Sanoff H (2000) Community participation methods in design and planning. Wiley, Chichester

    Google Scholar 

  • Savitz LA, Kaluzny AD (2000) Assessing the implementation of clinical process innovations: a cross-case comparison. J Healthc Manag 47(3):366–379

    Google Scholar 

  • Schulz K-P (2008) Shared knowledge and understandings in organizations – its development and impact in organizational learning processes. Manage Learn 39(4):457–473

    Article  Google Scholar 

  • Schulz K-P, Geithner S (2014) Creative tools for collective creativity – the serious play method using LEGO bricks. In: Sannino A, Ellis V (eds) Learning and collective creativity. Activity-theoretical and sociocultural studies. Routledge, London, pp 179–197

    Google Scholar 

  • Statler M, Roos J, Victor B (2009) Ain’t Misbehavin’: taking play seriously in organizations. J Change Manage 9(1):87–107

    Article  Google Scholar 

  • Statler M, Heracleous L, Jacobs C (2011) Serious play as a practice of paradox. J Appl Behav Sci 47(2):236–256

    Article  Google Scholar 

  • West M (2002) Sparkling fountains or stagnant ponds: an integrative model of creativity and innovation implementation in work groups. Appl Psychol 51(3):355–424

    Article  Google Scholar 

  • West M, Farr J (1990) Innovation and creativity at work: psychological and organizational strategies. Wiley, Chichester

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Silke Geithner .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Schulz, KP., Geithner, S., Kawamura, T. (2015). Applying Tool-Kit-Based Modeling and Serious Play: A Japanese Case Study on Developing a Future Vision of a Regional Health Care System. In: Gurtner, S., Soyez, K. (eds) Challenges and Opportunities in Health Care Management. Springer, Cham. https://doi.org/10.1007/978-3-319-12178-9_23

Download citation

Publish with us

Policies and ethics