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Methods Of Healthcare Delivery System01:26

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Caredesign: A Needs-Finding Framework for Enhancing Healthcare Service Innovation in Low- and Middle-Income

Mehdi Shafieian1,2, Nabioallah Abolfathi3, Youseph Yazdi4

  • 1Department of Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran. shafieian@aut.ac.ir.

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|November 22, 2025
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Summary

The Caredesign process effectively identifies healthcare service delivery and administrative inefficiencies in low- and middle-income countries (LMICs). This adapted needs-finding approach offers a scalable framework for healthcare innovation in resource-limited settings.

Keywords:
BiodesignCaredesignHealthcare innovationLMICNeeds finding

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Area of Science:

  • Healthcare Management
  • Health Systems Research
  • Innovation in Resource-Limited Settings

Background:

  • Traditional needs-finding methods often overlook systemic inefficiencies in healthcare.
  • Low- and middle-income countries (LMICs) face unique operational challenges in healthcare service delivery.
  • Adapting established innovation frameworks is crucial for resource-constrained environments.

Purpose of the Study:

  • To evaluate the efficacy of an adapted needs-finding process, Caredesign, for identifying healthcare inefficiencies in LMICs.
  • To determine if modifying the Biodesign needs-finding phase yields actionable insights for healthcare innovation.
  • To assess the applicability of Caredesign in resource-limited healthcare settings.

Main Methods:

  • Semi-structured interviews with 47 healthcare professionals in Iran.
  • Analysis and thematic categorization of 354 problem statements.
  • Incorporation of financial and temporal analyses, alongside bibliometric analysis using VOSviewer.

Main Results:

  • Service delivery and administrative inefficiencies, rather than device innovation, are dominant in LMIC healthcare.
  • Executive management processes (23%) and workspace/technology management (22%) were key areas of inefficiency.
  • Medical device management (17%) and human resources (10%) also presented significant challenges.

Conclusions:

  • The Caredesign approach is a scalable, service-oriented framework complementing traditional methods.
  • It provides a pathway for enhancing healthcare innovation by addressing operational challenges in LMICs.
  • The study highlights the importance of focusing on systemic improvements for healthcare advancement in resource-limited settings.