GUILLERMO WECHSLER

HOME

NARRATIVE

ON DESIGN

ONTOLOGICAL DESIGN

SERVICE ARCHITECTURE

WEB X.0

WORLDZENSHIP

READING

WRITINGS

CONTACT

On Design

I am interested in exploring design practices, and theoretical discourses on design coming from fields as diverse as engineering, software, industrial, organizational, molecular, and architecture, among others. My main goal is to see what can make a design more effective, valuable, or economic.


February 7, 2007

A Failing Transparency of Design Principles in Health Care?

There are three layers of design principles out of which people design. I have begun to articulate them in this document. As always, read this blog, take a look at the document, and send me your suggestions.

The three principles are:
  1. Theoretical Design Principles: These are the discourses and theoretical distinctions to observe, evaluate and act in the phenomenological domain in which the design is taking place. For example, if you are going to design mortgage lending services, the underlying theoretical principles out of which you would design would be financial theory, risk theory, organizational theory, cognitive biology, phenomenology, etc.

  2. Ethical Design Principles: These are the basic ethical values of a particular historical period which shape your design. For example, today, in the domain of Open Source, companies don't design and build proprietary products controlled and shaped by themselves. They instead share their intellectual property with users as a way of getting feedback, building a stronger network, and improving their service.

  3. Projectual Design Principles: These are the principles that define the value proposition a particular company or collective is willing to deliver for a particular set of communities. These principles are often implicit in the business model of a company. Google promotes user-generated-services; consequently one of their projectual principles is to release the code of some of their services. Dell supports market standards; consequently one of their projectual principles is avoid defensive R&D and defensive functionality in their product development.

At the HAAS School's Business in Health Care Conference, there were many intelligent, innovative, and devoted members designing and innovating in the health care system. As I mentioned in this post, Suzy Jones from Genentech spoke about innovation in the company. She showed, among other things, that Genentech did not believe in separating the know-how from the people producing that know-how. And in investing in the people, Genentech not only got more know-how, but built a new sense of trust and collaboration with people thinking about the same problems. The company has this fundamental design principle for expanding collaboration into innovation networks. Now, they are designing new types of contracts--new protocols of communication--that have produced a new common sense and a new thinking about managing vast networks of collaboration with deals built on mutual trust, sensitivity to mutual concerns, and some alignment of priorities.

In contrast with this design approach favoring vitality and decentralization, we have the implicit design approach of most of the health care reform proposals.

Currently, the health care system is organized based on a centralized top-down design criteria. Teisberg and Porter declared three basic theoretical principles, which are 180°s from what mainstream players are thinking and talking about now, as fundamental to designing a health system. These principles are:
  1. Redefining the relation between the major constituencies of the system and putting the patient at the center.

  2. Stimulating value-added competition in opposition to zero-sum competition.

  3. Promoting information transparency and customer access to personal data.

By working with these principles, it doesn't mean you can't review them later on, but they have been proposed as a new frame to designing health care services.

Currently, the health care debate is lacking the perspective of questioning the design principles that are in the background. We claim that there are implicit design principles which are harmful. By not listening to, and unsettling these theoretical principles, anything we build on top of them will produce more complexity and enormous waste, regardless of the good intentions and the magnificent skills of the thousands of health professionals working to improve the field.

Labels: ,

Comments:
Hmm, I must go and clean myself up, John said and he got up, lookeddown and screamed loudly. I tried, honestly I did.
sexy stories
big black cock rape stories
gay bondage stories
free taboo adult stories
erotic stories xnxx
Hmm, I must go and clean myself up, John said and he got up, lookeddown and screamed loudly. I tried, honestly I did.
 
top [url=http://www.001casino.com/]001casino.com[/url] coincide the latest [url=http://www.realcazinoz.com/]online casinos[/url] unshackled no set aside perk at the leading [url=http://www.baywatchcasino.com/]baywatchcasino.com
[/url].
 
I love what you guys are usually up too. This kind
of clever work and exposure! Keep up the
awesome works guys I've added you guys to blogroll.

Here is my blog post ... foods with iodine
 
Pretty nice post. I just stumbled upon your blog and wished
to say that I have really enjoyed surfing around your blog posts.
After all I will be subscribing to your feed and I hope you
write again very soon!

Feel free to surf to my page ... vigrx penis enlargement pills
 
Post a Comment





<< Home