Facilitating Users and Designers Towards a Shift of Perspective for True Participation in Co-creation in Health Care: A Holistic Activity Theoretical Approach
Paper in proceeding, 2020

Modern healthcare is a complicated sociotechnical system where medical technology is a prerequisite for quality as well as cost-effectiveness. New and complex technologies for diagnosis and treatment are progressively developed to meet the challenge of future health care. However, this requires increasingly close cooperation by heterogeneous stakeholders with various views that must be heard and negotiated. Traditional participatory design approaches may not suffice to establish the needed close cooperation. This paper builds on the authors’ research over the last decades on eliciting stakeholders needs and requirements in the development of medical products by means of participatory design processes, analysed by Activity Theory (AT). By facilitating stakeholders’ interactions with mediating tools, the rules and relationships that shape behaviours and outcomes to become visible. AT reveals and supports our understanding from a holistic perspective of the need for a shift of perspectives to form a new and shared activity system in a collaborative space that bridges the gaps between participants and thus holistically allows individuals to bring their respective knowledge, experiences, and motivations into co- creation processes. This requires a meta-shift of perspective that needs to be facilitated in the co-creation process and can only occur if and when participants are enabled to understand the process and the role(s) they have.


activity theory

medical device



Siw Eriksson

Chalmers, Industrial and Materials Science, Design and Human Factors

Pontus Wallgren

Chalmers, Industrial and Materials Science, Design and Human Factors

Marianne Karlsson

Chalmers, Industrial and Materials Science, Design and Human Factors

Proceedings of the 6th International Conference on Design4Health, Amsterdam, 2020

Vol. 1 177-184
978-1-8381117-0-0 (ISBN)

6th International Conference on Design4Health
Amsterdam, Netherlands,

Subject Categories

Other Medical Engineering

Driving Forces

Innovation and entrepreneurship

Areas of Advance

Health Engineering

More information

Latest update

9/9/2020 3