Participatory Healthcare Innovation. Good Practice.
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Abstract
AIM
Participatory Healthcare Innovation PHI
The development of health care in a multidisciplinary entity. Different stakeholders with each their own jargon and expectations of quality.
PHI takes care of all stakeholders, in addition to the patient naturally also the care professional and the engineer, scientist and regulations are committed and remain committed in the right way and at the right moment.
METHOD
The PHI principle approaches health care innovation from two domains. The problem and the solution domains with its own specific stakeholders. The client, care professional and health care insurer are typical examples of stakeholders from the problem domain. The engineer, scientist and manufacturer act more in the solution domain. PHI assumes that the problem owners are unable to specify their own requirements in a qualitative manner. PHI applies requirements engineering techniques in order to achieve that. PHI finally relates both domains to an integral whole to find the fit for use solution.
The initial assignment description is all too frequently specified on solution level. PHI slants this initial description to goal level in order to discover the real stakeholder. Step by step we work towards the solution.
RESULTS Second project and second patent
Statement of needs: I want a tool for warm water therapy that makes it possible for me to treat more than one patient simultaneously. The tool must allow me to use my expertise and experience as a care professional in an optimal fashion.
Reasoning: At the moment I am the mainstay in various exercises in water and as a result I can only treat one patient at a time. I cannot reduce the waiting list.
Acceptance criteria:
Three therapist should be able to develop their own unique exercise programme. The exercise programme should allow patients to perform exercises independently in water.
A FIT FOR USE SOLUTION
The Core Stability Trainer is a variation of the Swiss ball. An important difference, in addition to that the CST can be used in water, is the position of the turning point. In the CST this is just underneath the ischial bone(s). Whereas for the Swiss ball this is on floor level. In this way the CST has a more direct influence on the core balance and lower back muscles. The seat of the CST slants all around to 21 degrees and is not supported. The “art†is to stay seated without support (legs off the floor). For a person without limitations this is already a challenge. Lifting a leg is straight away a problem, let alone multiple actions at the same time.
The CST goes beyond the usual abdominal exercises. Physiotherapy has now an extra wide variety of core stability exercises. Revalidation can start earlier and easier in warm water so it benefits the heavily injured, disabled persons and much more (depending on the ‘fantasy’ of the physiotherapists and other specialists).
CONCLUSION
Think in requirements to find a fit for use solution. Requirements are timeless while technical solutions are not. So when you specify solutions you specify history.
Participatory Healthcare Innovation PHI
The development of health care in a multidisciplinary entity. Different stakeholders with each their own jargon and expectations of quality.
PHI takes care of all stakeholders, in addition to the patient naturally also the care professional and the engineer, scientist and regulations are committed and remain committed in the right way and at the right moment.
METHOD
The PHI principle approaches health care innovation from two domains. The problem and the solution domains with its own specific stakeholders. The client, care professional and health care insurer are typical examples of stakeholders from the problem domain. The engineer, scientist and manufacturer act more in the solution domain. PHI assumes that the problem owners are unable to specify their own requirements in a qualitative manner. PHI applies requirements engineering techniques in order to achieve that. PHI finally relates both domains to an integral whole to find the fit for use solution.
The initial assignment description is all too frequently specified on solution level. PHI slants this initial description to goal level in order to discover the real stakeholder. Step by step we work towards the solution.
RESULTS Second project and second patent
Statement of needs: I want a tool for warm water therapy that makes it possible for me to treat more than one patient simultaneously. The tool must allow me to use my expertise and experience as a care professional in an optimal fashion.
Reasoning: At the moment I am the mainstay in various exercises in water and as a result I can only treat one patient at a time. I cannot reduce the waiting list.
Acceptance criteria:
Three therapist should be able to develop their own unique exercise programme. The exercise programme should allow patients to perform exercises independently in water.
A FIT FOR USE SOLUTION
The Core Stability Trainer is a variation of the Swiss ball. An important difference, in addition to that the CST can be used in water, is the position of the turning point. In the CST this is just underneath the ischial bone(s). Whereas for the Swiss ball this is on floor level. In this way the CST has a more direct influence on the core balance and lower back muscles. The seat of the CST slants all around to 21 degrees and is not supported. The “art†is to stay seated without support (legs off the floor). For a person without limitations this is already a challenge. Lifting a leg is straight away a problem, let alone multiple actions at the same time.
The CST goes beyond the usual abdominal exercises. Physiotherapy has now an extra wide variety of core stability exercises. Revalidation can start earlier and easier in warm water so it benefits the heavily injured, disabled persons and much more (depending on the ‘fantasy’ of the physiotherapists and other specialists).
CONCLUSION
Think in requirements to find a fit for use solution. Requirements are timeless while technical solutions are not. So when you specify solutions you specify history.
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