母の健康におけるコクリエーションとコードデザイン:プロセス,成果,実施の課題
Mohamed Rishard1,2, Kavinda Rajaratne3, Kavinda Jayasingha3
1Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka mrishard@obg.cmb.ac.lk.
BMJ quality & safety
|February 20, 2026
まとめ
共同創造と共同設計は,文化的に関連するサービスの開発に利害関係者を巻き込むことによって,母子のケアを強化します. 有望ではあるが,有効性に関する証拠は,堅実な研究設計によるさらなる調査を必要とする.
科学分野:
- 母親の健康について
- 共同デザインと共同創造
- 医療サービス 研究 医療サービス
背景:
- 共同創造と共同設計は,サービス提供を改善するために,ヘルスケアでますます利用されています.
- 産婦人保健におけるその応用は,利害関係者の関与を通じてケアを強化することを目的としています.
- プロセス,障壁,ファシリテーターを理解することは,効果的な実施に不可欠です.
研究 の 目的:
- 母の健康における共同創造と共同設計の適用を体系的に検討する.
- 障壁やファシリテーターを含むプロセスを特徴付ける.
- 報告された臨床的および経験的アウトカムを要約する.
主な方法:
- PRISMAのガイドラインに沿った体系的なレビュー.
- 2014年から2025年まで複数のデータベース (PubMed, MEDLINE, Embase, Cochrane, ScienceDirect) で検索しました.
- 60の定性・定量的な研究を含み,異質性によるナラティブ・シンセシスが行われた.
主要な成果:
- 心理社会的サポート,コミュニケーションツール,デジタルヘルスの介入の開発にコクリエーション/コデザインが適用されました.
- 報告された主なアウトカムは,受け入れ度,満足度,エンゲージメント,および認識された関連性でした.
- 課題には,力の不均衡と資源の制約が挙げられ,利害関係者の関与と繰り返し設計が有効化されました.
結論:
- 共同創造と共同設計は,よく記述され,文脈に適した場合に,文化的に関連し,公平な母子ケアをサポートすることができます.
- 現在の証拠は,有効性について確固たる結論を導き出すには不十分です.
- 将来の研究には,透明な報告,特定のメカニズム/文脈,より強力な比較デザインが必要です.
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