Transforming Health Care Systems through Design

Format: Papers, RSD2, Topic: Sociotechnical Systems

Author: Jonathan Veale

Introduction. Government decisions manifest within the landscape and can greatly affect change within their jurisdiction and beyond. A perfect example would be decisions about regional energy policy. A government’s views about the production, transportation and consumption of energy within their geography notably impacts land development, resource extraction, economic investment, urban design, transportation, climate change, economic competitiveness and the social mix of a region . Energy policy decisions are foundational to complex predicaments, including energy insecurity, poverty, food and water security and social strife. Notable examples abound but this complexity manifests at the human scale towards whole systems and the spaces in-between.Until relatively recently, government policy development, insofar as it was systemic, relied upon hard systems methodology which began with a knowable problem and converged on a solution . This linear and monistic approach brought depth but lacked context of the wider societal, technological, economic, ecological and political system. In simpler times, and in the absence of complex systems methodologies, this approach was the best option for policy development. Consistent with this view, governments organized themselves around discrete policy silos, each bringing an expert depth to their thematic responsibility. This is opportune where increasing specialization leads to new knowledge, but challenged where context is needed to avoid unintended consequences . Complexity as it is now, calls upon government to navigate policy predicaments with a new architecture – one that brings both depth and context for rigorous policy.
This paper examines the emerging context of the civil servant – one entrusted with the public interest by duty and responsibility – who practices within the architecture of government, deploying systemic design methodologies towards the complex predicaments that societies faces. Governments are responding to complexity in policy decisions – design consultants are retained; government staff are trained in designerly ways; and, experienced-designers are employed on in-house consulting teams. These models have the effect of increasing the profile of design practice within government. The model of the Department of Energy in Alberta, Canada is examined with a view towards articulating this emerging context for systemic design practice. The case of a trans-ministry design team applying systemic design methodology around a shared strategic concern is presented.

Presentation & paper

Citation Data

Author(s): OCTOBER 2013
Title: Transforming Health Care Systems through Design
Published in: Proceedings of Relating Systems Thinking and Design
Article No.:
Symposium Dates:
First published: 15 September 2013
Last update:
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Proceedings of Relating Systems Thinking and Design (ISSN 2371-8404) are published annually by the Systemic Design Association, a non-profit scholarly association leading the research and practice of design for complex systems: 3803 Tønsberg, Norway (922 275 696).


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