This article explores a collaboration between a hospital and a design team working on shared decision making. The analysis shows that designers have materialized care on different levels. One level concerns the combination of top-down and bottom-up stakeholder input—in other words, the representation of voices that are not equally equipped with power. By evidence of our research we argue that designers’ main cultural achievement lies in an illustration of a currently changing medical practice with shifting roles for “modern” patients and clinicians. Thus the main outcome of the design process is a re-organization of the relationship between patients and clinicians.

中文翻译：

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有形护理：设计作为实现临床医生和患者之间不断变化的关系的工具

本文探讨了医院与致力于共同决策的设计团队之间的合作。分析表明，设计师在不同层次上实现了关怀。一个层面涉及自上而下和自下而上的利益相关者输入的组合——换句话说，代表没有同等权力的声音。根据我们研究的证据，我们认为设计师的主要文化成就在于展示了当前不断变化的医疗实践，“现代”患者和临床医生的角色不断变化。因此，设计过程的主要结果是重新组织患者和临床医生之间的关系。