Cancer Screening Pathways for Indigenous Communities

Peter Jones Design for Care, Health design

In healthcare design, many projects are done over stages of study, proto-construction, and longer/deeper feedback cycles than in private sector or commercial projects. One of our OCADU Health Design collaborative design projects, with Cancer Care Ontario (CCO), initiated pre-Covid and after some time in reviews, was recently completed and distributed to stakeholders. The First Nations Cancer Screening Access Guides were designed in collaboration with Laura Senese, senior researcher with Cancer Care Ontario, working with PI Dr. Jill Tinmouth with Sunnybrook Research Institute. The Access Guide, a bespoke product for the Wequedong Lodge, was finalized and recently printed in English, French, Ojibway and Oji-Cree language versions. The baseline English version we designed (with the ideas and design work from several research assistants) was created as a concise, vernacular, culturally-relevant guideline for First Nations use across Ontario. While in principle the design of a health communication artifact is a straightforward process of …

Navigating the Complexity of Cancer Diagnosis

Peter Jones Co-Creation, Design for Care, Systemic Design

A team from OCAD University’s Health Design Studio [1] designed a series of synthesis maps for the Canadian Partnership Against Cancer, for a project to proposes systemic responses to the clinical and social complexity of cancer pre-diagnosis in Canadian care provision. In the two synthesis maps presented here, we represented clinical diagnostic processes and the patient experiences associated with navigating the complexity of cancer diagnosis for three cancer sites, across three (representing 6) geographical regions. The maps were constructed in an iterative design and research process by the HDS as part of a larger CPAC collaboration to identify evidence-based opportunities for system-level change in cancer diagnosis to improve patient experience and clinical practices. The maps present an integration of current knowledge from clinical practice and patient experiences drawn directly from interviews and workshops with patient advisors, primary care physicians and cancer specialists. Two Maps Tell the Story The clinical process …

Synthesis Maps from CanIMPACT | Mapping the Clinical Cancer System

Peter Jones Design for Care, Service Design, Systemic Design

The CanIMPACT project (Canadian Team to Improve Community-Based Cancer Care Along the Continuum) is a multidisciplinary pan-Canadian program studying how to improve cancer care to patients in the primary care setting. Funded by the Canadian Institutes of Health Research for 5 years (2013–2018, Grant no. 128272) the project was led by Dr. Eva Grunfeld, Director of Research at U Toronto’s Dept of Family and Community Medicine.  For the CanIMPACT synthesis map project, our sLab team (Jones, Smriti Shakdher, Prateeksha Singh).  Two synthesis maps were prepared to reflect the discovered insights from the multi-year investigation, a clinical system map and a patient-centred map informed by the CanIMPACT Patient Advisory Council. The resulting maps were published (a first for a system map method) in Current Oncology and presented at the first Canadian Partnership Against Cancer (CPAC) conference, and MedicineX 2017. Jones, P.H., Shakdher, S. & Singh, P. (2017). Synthesis maps: Visual knowledge …

Soft Service Design: Interventions in Complex Social Determinants

Peter Jones Design for Care, Service Design, Social Systems Design

Design for Health (2017) Design for Health – Published by Routledge May 2017,   Edited by Emmanuel Tsekleves and Rachel Cooper (Editorial overview of book and chapters) Chapter 3:  Soft Service Design around the Envelope of Healthcare (Peter Jones) Better alternatives to improving population health have been sought by healthcare policymakers and the front-line clinicians who see patients in everyday care settings. While public health experts and primary care clinicians recognize the significant effects on health from social determinant factors they have limited tools for addressing these causal factors in their patient’s lives. Systemic improvements to a population’s social ecology are considerable challenges from within the “envelope” of a healthcare system. The service design challenge I propose and aim to answer is that of, can we better intervene outside of and around the envelope of the healthcare system? In mental health and primary care contexts, we find that systemic factors and social …