Exploring Health Sector Complexity through Design Research by Olivia Kirk & Belinda Tobias

Being adaptive in approach is key in research, especially when it comes to facing complex scenarios in an increasingly complex world. More and more, we are seeing governments and organisations opting to apply research and design-led approaches to decision making. As design researchers, it is our responsibility to provide clear, representative foundations from which these decisions will be made. This talk discusses a design-led approach to looking at policy within the health sector, by considering the people it impacts.
Presented at Design Research 2021.

Transcript

1. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . www captionslive com au | captionslive outlook com | UX A a a D R a c Da 1 W d da , 17 Ma c 2021 Ca i ed b : Hila Cadd
2. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 72 STEVE BATY: O lea e. Oka . We ha e c i g e Oli ia a d Beli da h ill be alki g ab a e l a i f c le i i a heal h c e . A e b i g he li e. Hell . Hi Oli ia. OLIVIA KIRK: H g i g? STEVE BATY: Ve ell. Tha k f j i i g . Hi Beli da. BELINDA TOBIAS: Hi. Tha a g ea . Ve i e e i g. B illia . STEVE BATY: Tha k . O e b h. Tha k . BELINDA TOBIAS: I ill ha e c ee a d e ca ge a ed. S hi a d ha k f j i i g , elc e e l i g h ec c le i h gh de ig e ea ch, I' Bell a d j i i g e i Li . I' a c -f de a d a i ci le a T bia , I' a i a e ab a egic de ig . I l e ki g i hi field a d I' g a ef l be ki g i h all e d e le like Li h ' a e a a a ill ee. T da e a e g i g alk ab e ea ch lea i g a d e akea a jec ha ha e i f ed a eg a d d c . We' e g i g be alki g ab diffe e a ha a ife a d ha e ha e lea ed ab h d de ig e ea ch effec i el i i . O ece e e ie ce f ki g ge he a he fede al De a e f Heal h a d a a fa a ic ea ha de ig he e. I' al c e l ki g i h he f cke a a e c ea a De a e f Heal h a d Li ' bee ki g i h he COVID-19 acci e ll . Al a a ge f jec e he ea i h g e e a d -g e e clie a d f he e e ha e c llec ed e e ie ce ha e ha e hi k ill be f e fell de ig e ea che .
3. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 73 OLIVIA KIRK: Hi e e e, I' Oli ia Ki k a d a e i ed I' e bee a a egic de ig e he e f ab he a h ee ea . I k a l i he heal h ec a d i h e hi ki g a d ack he c le i f ha e e e I' e ea chi g a d de ig i g f . Bef e e e l begi I'd like ack ledge a d ha k he adi i al c dia he la d hich e' e all j i i g da . F e I' he g d f he Gae ical. M i g a d all i g i g a e i a ce. I al a e i ha e' e eaki g behalf f a f clie . The e a e j he i igh ha e f d e he a fe ea f ki g i e ea ch a d de ig . S bei g a e ea che i l a i ilege. We' e gi e acce eal e le' e ie , e f he i e e i i e a d i i a e a d e d ' ake hi likel . We de a d ha e eed ead ca ef ll a d ea e h e ha e' e lea i g f ha hei i f a i ill be #2 50e9d i h he e ec ha i de e e . We like ee he i icacie a d a ec f he e ice e ca ge a gli e f he c le i f ha e' e de ig i g f . F k e f d hi i e eciall he ca e i he heal h ec . We' e ee ha i f e i ' he l f c f he a ie . I ead, ha heal h e ice i e f a ide kick hei heal h j e a d, f c e, i ' he ca e f all e ea ch a ici a b f i e a aj i f h e ha e' e ke he cha ce ell hei heal h ca be a a e e. Ca be ki d f al f e e li e i h di ided a e i ha heal h , he e ace e ca lea e f he ha e hei e e ie ce, he e i igh he ' e g i g be able ha e i h . B ha i g i a eall e ec f l a he e e ie ce i f e a i i e e f f he a ici a . S k i g he heal h ec i a c le e , h ca de ig
4. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 74 e ea ch hel . BELINDA TOBIAS: O e he ea , Li a d I ha e ed ee a a a i g e le, a a i ilege be le i hei ld. Thi al c e i h a e ibili e e e he acc a el , aki g e e' e c ea i g al e i e cha ge f hei i e. I all k i h g e e e' e had c ide he eed f all A alia a d be i cl i e a ch a ible hich ha e - e fec a b ad a ge f c e a d i di id al ie a ell a a f he e ic challe ge c f i g he ec . A ke akea a i ha hil e' e f a e ha e a ab da ce f high ali heal h e ice a ailable i A alia, a i c edibl de ed g f e le, he j e e a life i e i f e di j i ed a d diffic l a iga e. T deli e high ali e e ie ce he ec ha a challe ge . While ca e i deli e ed i di id al a e- - e ba i , he eali i ha e i e heal h i like a b d f ca e deli e ed b a ea ac ch i . I ake c i i f ca e e e el challe gi g, l a e he e l i le i di id al , he e' al l i le l ca i , ide , ech l gie a d e ha d ' eak e a he . O f ha he e' eg la i , f di g a d ec i c ide . A d f ha he e' c l e, habi , a d e ce i , a d e e e f ha acc f he edical cie ce hich i c a l e l i g a d i a i g a d i l e he h a b d hich i a c le e . T be effec i e e eed c ide he c le i . I jec i h he h e de ig lab a k a de a d he c e a e f f di g a d eg la i f a a ic la f c a ea. We a ed de a d ha i ac he c e a e ha heal h j e a d ha i ie f cha ge e e a d ha i ac ha ld ha e. S
5. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 75 e eeded de a d i e c ec i f he ec e b l ki g a he ide , he ac i i e a d he a ie . H e ca e ke a d ide a c ea e g d e e ie ce a d e ca all a ecia e ha he eed i d i g ha a d e ca hel defi e ha b de ig i h g d e ea ch. T d e eed hi k h li icall a d c ide de ail. We ha e f d e ea ch a d a al i a ach eed c ide he ec e f ca e b al he de ail a d he h a fac , ca abili ie a d li i a i ha la a big a i defi i g h e e ie ce eall cc . OLIVIA KIRK: S e k ha he COVID-19 a de ic ha bee a i e e i ac h e de ig e ea ch k. Whe la i g la ea e e e e a el hidde c e f he c eak e e a ici a i hi hei c e . I a all ga i ed ead g , e e e kicki g ff a he a f 2020 b he he a de ic hi a d e had e e e hi g i e dde l . B he e ea ch g al l beca e all he e i a a d eflec i , hi a i - ide jec de a d he c e a e f heal h e ice c ld ha e bee e i el . A e ea ch h ake hi ha hi li e e i . Thi e abled i c ea e he be f i e ie . Re e a ici a e e a high i i c h a a a d i a eall i a ha e had acc a e e e e a i ac A alia f e e, al, egi al a d e l ca i . S e ea ch i ide cha ac all aided i eachi g a e e le i he e e e el e e e i g h e a e e ha e had he i eak he i e. I all ed b i g i e ea e be . Of c e, e did ' k hi ld be he c e a he i e f la i g b i ' a g ea e i de b ild i a bi f fle ibili he
6. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 76 la i g e ea ch. Thi g ha e al g he a ha c ld ide i h a e e be e c e ha e ec ed a d i ' fa a ic if lea e a bi f ake he e i ie he he . Of c e, e eed c ide c ai f a jec , he all ha e hei i e li e , b dge , e ce a d g al , b he agic ha e he e' e able e l e i hi hei c ai . BELINDA TOBIAS: Which b i g e i . C ai , e' e ill h a a d ake e c ec ickl a d a he icall . C e al i i f e lead i e le' h e a d li e . The i e ake b ild a a he ic c ec i i h he e le h a e ha i g he e f ag e f hei li e i i a . A l f jec ca l k like ha i g a hi g di he i h he fa il , ac all be he e c ec a he ha j ake a a ha a ed. I h jec hi ca be e diffic l a d i e e jec hi a k ca feel e hel i g b i ' ill e i a . I ' ce ai l i ible, i j e i e a ligh l diffe e a ach. I jec i h he heal h de ig lab he eed c ec a e clea , d e he a e f he ic a d he a e f he e ea ch. We ed a e h d e' e ada ed e he ea each dee e e i . We k a elec i f ab 30 bea if l a big ill a i a d a ked ela e hei heal h j e h ee f he . Pa ici a e e gi e he ace a d i e eflec a d a i hi k bjec i el ab hei heal h j e e all. We f d hi e h d ga e a ici a e i i i d ce , i h he delica e bjec a e a a ici a a ached a f hei ie he cha ac e i he ill a i a i g hi g like, hi e l ked acked he ' e i jail, like a ed i ide hei b d . A he a e c ec ed a b a ki g a ici a ha e a efac i h . I fac ,
7. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 77 a f he ffe ed . Wi h e le i i g i hei h e a d ffice hich d i g he a de ic had bec e hei ai c ac a a , a d i g a d i g fi d f le e a e ial h . Pa ici a i e ac i h b ke d a ele e f he digi al. If e c ld ' e e hei c e e c ld b e e he i e ac i g i h i . OLIVIA KIRK: The e lide e a e ha i e i ha li ed e e ie ce i he e he e i igh lie. Th gh de ig e ea ch e ca ee he ble ace i e de ail. Thi le el f de ail ca be ed de ig c elli g l i b clea l ide if i g he h a c f he ble a e l i g. S e c ea e a e i e he e e le a e c f able alki g ab hei e e ie ce i hi de ail. Wha he did, h he did ha he did. Wha he e e feeli g a he i e, ha a i de he h ld a d ha belief he b i g hei ie . De ail, f c e, i a d he e e le c ec i c ib i i a a d he - - f a a ie ' e ec i e, heal h ca e i ade a e ie f li ked e e ie ce hich e e e be c ec ed b ildi g each he eh , e he e. B f e he e a e ga i he e hich e e d el e ie fill. F e a le, ha a e e e bee a ked, ha e had he e a ibi ic bef e, he a la bl d e . We e d a e e' e g i g e e be he e i a fac b e ea ch h a a ie he he e a e he hi g g i g , e i l d a d i ead e el a d e ec heal h ca e ide d ha f . U le ha e he i c ea i gl a e e- - e ela i hi hi i eall diffic l achie e. S e a k a ici a alk i de ail, e i g h gh ecificall e e a le a d b d i g hi b eakd e ga he i a de ail a d a id j hea i g ab he feeli g a d a i ha a e lef behi d.
8. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 78 BELINDA TOBIAS: Heal h che e e e. S i ' i al ha e al ec i a di e e c h he d i g e ea ch. O e f he i ci le e k f i de ig i g f i cl i i . A d d ha e ec i f i cl i i . Y j hea d g ea e a le f ha . We f e ed e e e a le . We eall de ig f e e e. B i e f h hi k ac icall , he bigge i I' e lea al g he a i l k f he e diffic l fi d a ici a fi . Rec i i g f i cl i i ca be challe gi g c ea e he ick f . Y a f i e if ec i f he ea acce a ici a fi . We e e ea l b b hi i e f jec , e had a g d ec i e c a b he e e ' able fi d he ha de each a ici a . We had a ec i i g el e . Bei g ada i e, e ead he d a d eached he e e ga i a i a d a ked ha e e e l ki g f , a d f a el af e a h e call he e e able hel . B i ce he e' e a ked he - f he ha d each a ici a fi a d ha ' bee a l le e f l. OLIVIA KIRK: Ye , e hi ki g eed e e ec i e hel ickl ee ha ' ha e i g. A e i ed, e' e eall a i a e ab e e e i g a e d e ' e ec i e, b e al e e be ha heal h ac i i e a d fa ilie f he a ie al la a a i e le. We eed ide if h a heal h e ice k a a e i l i g l i le la e h a e b h gi i g a d ecei i g ca e. Thi ea eachi g be d i e ie a d e l i g he h a i he e i he f he e e ill la gel i ac i . S a a ec e , a i e e i a i i hi heal h ca e e i e l k a all f he ele e i l ed hich a e a i g i ha e ea ch. S f e ha ea l i cl di g l i le
9. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 79 e ec i e i e ea ch b al aki g a l iface ed a ach a al i . We eed ide if he e ic a d c al i e , ha i beha i al a d a i di al, he h a fac , he h ical a d c g i i e li i a i , ch a e a d he c g i i e i ac f e i like fea a d e a d, f c e, hich e ee agai a d agai , fa ig e. The e a e all i e ell k a d d c e fac a d e eed b i g hi b d f k ledge i a al i . The he hi g ha e c ide i c e al li i a i e f he like i e e l ca i he e i e a d eff a e a l e c i ical, hich lead i i e a d he e ic i e like a ki g h a e ech l g ce e i g all h e i l ed, a e he aki g a a addi g i . S e a e e f e a d add f a he . F a c le ec e ch a heal h ca e e e ge ble ha ca l be l ed i h a h li ic de a di g f he h le e . BELINDA TOBIAS: I i i al ble faci g hei ec b f e d ' ha e a f i h bia a d i h age da. I c ea i gl a de ig led a ach ha bec e e ide ead a d de d a d lace like he h e de ig a e faci g e a f ki g. Gi i g di e e ice a e al cha ce be hea d. Talki g ide , a ie a d ac i i e gi e e ice . Thi d e c ea e e c le i . I hel ee clea e hich all ake e i f ed deci i i h le bia . Wha I al hi k ha i g l i le e ec i e f he lea ea ha bee a d e f he be a I k add e i he e bia e , i ' ch ea ie ee he e le' bia e ha . S d ' be e i g hi k. Ma be e ai e i i if he diffe f he . A he a e i e, i ' i a gi e a e f fi di g ha c adic . C adic i hel he c le i ' e l ki g a a d bei g a a e f he hel he ea
10. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 80 add e he . Tha ki d f eak ha e e a i g. S i c cl i ha ca e d gai a clea de a di g f c le heal h e ? F c de a di g he c ec i f he ec e b l ki g a all he ac , be ada i e i e ea ch a d lea e ace. C ec ickl a d a he icall . L k f i igh i he de ail f eal li ed e e ie ce. OLIVIA KIRK: We ca al de ig f i cl i i f ec i i g f i cl i i . I cl de l i le e ec i e i de ig a d a al i a ell a de ig a d be i df l f bia a d ack ledge c adic i . S i h he e i i e e h e ake f e e h li ic he c le i f he e i e ec e . Tha k . BELINDA TOBIAS: Tha k Th j i i g . Plea e each if he e' a e i a hi g 'd like di c i h . STEVE BATY: Tha k , ha a g ea . I ha e a ick e i , if ld ' i d a d ha i i l i h a ki d f c le e i e a d i h a ki d f e ie f hi g , he i e f b da ie a d c e i al a a gh e. D a alk a li le bi ab h d d a b da ie a d ha ' e g i g ab a d ha ' g i g be ide? BELINDA TOBIAS: Yeah, e, I ea , I hi k f e i al a c e d h ' e ki g i h, ha d he eall eed k . I ' eall c ec i g i h ha eed f he lea a d a e i g h e e i a d aki g e ha ha ' he f c . Y 'll fi d ch e. I hi k ha ' ha al a ha e a d ha ' h e' e e l aded i h h ch e' e g alk ab heal h b i ' eall , I
11. N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be c ied ed b a he a i h a h i a i . Page 81 hi k, eah, a e i g h e e i f ha clie ' e ec i e. Wha d he eall eed k . STEVE BATY: Tha ' de f l. OLIVIA KIRK: Ca I j add. T e a f he he idea ha c e he he fi di g . We d a ack he beca e he a e i a b he igh i f he b da ie f hi jec . The igh c e i ha d d he ack. S e al a ake e f h e he he c e . STEVE BATY: Tha a g ea . Tha k b h. Tha a de f l. We ha e Ca lie e . S I'll a k ha e c ee . Tha k b h. Ha e a de f l af e . Hell . CAYLIE PANUCCIO: Hi S e e. STEVE BATY: Y ' e g i g be alki g ab ci li g i ic a d ela ed i e , ha k f j i i g . CAYLIE PANUCCIO: Tha k f ha i g e. Bea i h e e e hile I ha e c ee . The e e g . N , I a l gi e, I ha e ied l i le i e ge hi ha e i h all a d al f i h i eake e a he a e i e. I ca ' d ha i f ll c ee de ' e g i g ha e ee (INAUDIBLE) if ha ka . STEVE BATY: O e . CAYLIE PANUCCIO: Tha k f ha i g e da . S a e' Ca lie,