Abstract：
OBJECTIVE: To describe a new co-design framework termed Evidence-informed, Experience-based Co-design (E2CD).
BACKGROUND: Involving consumers and clinicians in planning, designing and implementing services results in the end-product being more likely to meet the needs of end-users and increases the likelihood of their uptake and sustainability. Different forms and definitions of co-design have been described in the literature and have had varying levels of success in health service redesign. However, many fall short of including people with lived experience in all aspects of the process, particularly in setting priorities for service (re)design. In addition, health services need to deliver evidence-based care as well as care that meets the needs of users, yet few ways of integrating research evidence into co-design processes are described. This paper describes a new framework to approach co-design which addresses these issues. We believe that it offers a roadmap to address some of healthcare\'s most wicked problems and potentially improve outcomes for some of the most vulnerable people in our society. We use improving services for people with high healthcare service utilisation as a working example of the Framework\'s application.
CONCLUSIONS: Evidence-informed experience-based co-design has the potential to be used as a framework for co-design that integrates research evidence with lived experience and provides people with lived experience a central role in decision-making about prioritising and designing services to meet their needs.
BACKGROUND: Involving consumers and clinicians in planning, designing and implementing services results in the end-product being more likely to meet the needs of end-users and increases the likelihood of their uptake and sustainability. Different forms and definitions of co-design have been described in the literature and have had varying levels of success in health service redesign. However, many fall short of including people with lived experience in all aspects of the process, particularly in setting priorities for service (re)design. In addition, health services need to deliver evidence-based care as well as care that meets the needs of users, yet few ways of integrating research evidence into co-design processes are described. This paper describes a new framework to approach co-design which addresses these issues. We believe that it offers a roadmap to address some of healthcare\'s most wicked problems and potentially improve outcomes for some of the most vulnerable people in our society. We use improving services for people with high healthcare service utilisation as a working example of the Framework\'s application.
CONCLUSIONS: Evidence-informed experience-based co-design has the potential to be used as a framework for co-design that integrates research evidence with lived experience and provides people with lived experience a central role in decision-making about prioritising and designing services to meet their needs.
摘要：
目的：描述一种新的共同设计框架，称为“知情证据”，基于经验的联合设计（E2CD）。
背景：让消费者和临床医生参与规划，设计和实施服务会导致最终产品更有可能满足最终用户的需求，并增加其吸收和可持续性的可能性。文献中描述了共同设计的不同形式和定义，并且在卫生服务重新设计中取得了不同程度的成功。然而,许多人没有把有生活经验的人包括在这个过程的各个方面，特别是在确定服务(重新)设计的优先级方面。此外,卫生服务需要提供循证护理以及满足用户需求的护理，然而，很少描述将研究证据整合到共同设计过程中的方法。本文介绍了一种解决这些问题的方法协同设计的新框架。我们相信，它提供了一个路线图，以解决一些最邪恶的医疗保健问题，并有可能改善我们社会中一些最脆弱人群的结果。我们将为医疗保健服务利用率高的人改进服务作为框架应用程序的工作示例。
结论：基于经验的证据共同设计有可能被用作共同设计的框架，将研究证据与生活经验相结合，并为具有生活经验的人提供决策中的核心作用，以确定优先次序和设计服务以满足他们的需求。
背景：让消费者和临床医生参与规划，设计和实施服务会导致最终产品更有可能满足最终用户的需求，并增加其吸收和可持续性的可能性。文献中描述了共同设计的不同形式和定义，并且在卫生服务重新设计中取得了不同程度的成功。然而,许多人没有把有生活经验的人包括在这个过程的各个方面，特别是在确定服务(重新)设计的优先级方面。此外,卫生服务需要提供循证护理以及满足用户需求的护理，然而，很少描述将研究证据整合到共同设计过程中的方法。本文介绍了一种解决这些问题的方法协同设计的新框架。我们相信，它提供了一个路线图，以解决一些最邪恶的医疗保健问题，并有可能改善我们社会中一些最脆弱人群的结果。我们将为医疗保健服务利用率高的人改进服务作为框架应用程序的工作示例。
结论：基于经验的证据共同设计有可能被用作共同设计的框架，将研究证据与生活经验相结合，并为具有生活经验的人提供决策中的核心作用，以确定优先次序和设计服务以满足他们的需求。
