基于COM-B和Co-design的候鸟老人社区医疗服务设计研究  

Research on the Design of Community Healthcare Services for Snowbird based on the CoM-Band Co-design

作　　者：张欣然 黄雪飞[1] Zhang Xinran;Huang Xuefei(School of Art and Design,Wuhan University of Technology,Wuhan 430070,China)

机构地区：[1]武汉理工大学艺术与设计学院,武汉430070

出　　处：《艺术与设计(理论版)》2025年第2期90-93,共4页Art and Design

摘　　要：在候鸟式养老成为新时尚的背景下,公共服务供需矛盾日益突出。文章从候鸟老人医疗需求和就医行为出发,分析就医行为改变因素,优化设计迁入地社区医疗服务系统,提升医疗服务体验,基于Dietrich的协同弱势消费者六步框架,整合能力、机会、动机和行为(COM-B)模型与协同设计(Co-design)流程,协同候鸟老人及其他利益相关者,对候鸟老人的日常康养、生病就医和院前急救三类医疗需求展开研究,从老人能力、设备与服务等外部环境、参与服务的态度与意愿等角度,分析就医行为影响因素,总结设计机会点,构建社区医疗服务设计策略。研究发现结合COM-B与Co-design,有利于识别用户行为影响因素,构建促进老人就医行为的服务设计策略,对提升旅居地社区医疗服务质量和就医体验起到积极作用。Against thebackdrop of snowbird retirement becoming a new trend,the contradiction between the supply and demand of public services is becoming increasingly prominent.This research starts from the medical needs and healthcare behaviors of snowbird populations,analyzes the factors influencing changes in healthcare behaviors,and optimizes the design of the healthcare service system in their places of residence to improve the medical service experience.Based on Dietrich's six-step framework for co-designing with vulnerable consumers,this study integrates the COM-B(Capability,Opportunity,Motivation,Behavior)model with the Co-design process.It collaborates with snowbirds and other stakeholders to investigate three categories of healthcare needs:daily health maintenance,medical treatment when sick,and pre-hospital emergency care.From the perspectives of snowbirds'capabilities,external environments such as equipment and services,and their attitudes and wilingness to participate in community healthcare services,the study analyzes the factors influencing snowbird healthcare behaviors,summarizes design opportunities,and constructs community healthcare service design strategies.The study finds that combining COM-B with Co-design helps identify the factors influencing user behaviors and develop service design strategies that promote snowbirds healthcare behaviors.This approach willplay a positive role in improving the quality of healthcare services and the medical experience in communities where snowbirds reside.

关 键 词：协同设计 COM-B模型 候鸟式养老 社区医疗 服务设计 

分 类 号：TB491[一般工业技术]