Experience-based Co design and Healthcare Improvement: Realising Participatory Design in the Public Sector

Sara Donetto
National Nursing Research Unit, Florence Nightingale School of Nursing & Midwifery, Kings College London, UK

Paola Pierri
National Nursing Research Unit, Florence Nightingale School of Nursing & Midwifery, Kings College London, UK

Vicki Tsianakas
National Nursing Research Unit, Florence Nightingale School of Nursing & Midwifery, Kings College London, UK

Glenn Robert
National Nursing Research Unit, Florence Nightingale School of Nursing & Midwifery, Kings College London, UK

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Ingår i: ServDes.2014 Service Future; Proceedings of the fourth Service Design and Service Innovation Conference; Lancaster University; United Kingdom; 9-11 April 2014

Linköping Electronic Conference Proceedings 99:23, s. 237-246

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Publicerad: 2014-06-25

ISBN: 978-91-7519-280-2

ISSN: 1650-3686 (tryckt), 1650-3740 (online)


Growing attention has been paid to the potential value of design theory and practice in improving public services. Experience-based Co-design (EBCD) is a participatory research approach that draws upon design tools and ways of thinking in order to bring healthcare staff and patients together to improve the quality of care. Through a six-stage facilitated process; EBCD uses filmed patient narratives to promote change that is grounded in people’s experiences and engages participants in co-design activities to implement improvements. The co-design stage is a powerful and yet challenging one; as it requires both staff and patients to renegotiate their roles and expectations. When applied in the healthcare sector design approaches acquire a distinct political dimension by re-configuring the relationships of power between citizens and public services. From a critical review of approximately 60 EBCD projects; we reflect on lessons for effective participatory co-design approaches.


Experience-based Co-design; healthcare organisations; participatory design


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