Yes / Background: Experience-based co-design (EBCD) brings patients and staff together to co-design services. It is normally conducted in one organization which initiates and implements the process. We used the traditional EBCD method with a number of adaptations as part of a larger research study in the British National Health Service.Methods: The primary aim was to assess the feasibility and acceptability of conduct-ing research-initiated EBCD, to enhance intervention development prior to testing. As well as embedding the method in a research study, there were 3 further key adap-tations: (a) working across primary and secondary care sectors, (b) working on multi-ple sites and (c) incorporating theory-informed analysis.Results: We recruited four sites (covering both primary and secondary care) and, on each site, conducted the initial traditional EBCD meetings, with separate staff and patient groups—followed by a single joint patient-staff event, where four priority areas for co-design were agreed. This event was driven by theory-informed analysis, as well as the traditional trigger film of patient experiences. Each site worked on one priority area, and the four co-design groups met over 2-3 months to design prototype tools. A second joint event was held (not usually undertaken in single-site EBCD) where they shared and compared outputs. The research team combined elements of these outputs to create an intervention, now being tested in a cluster randomized controlled trial.Conclusions: EBCD can be successfully adapted for use across an entire patient pathway with multiple organizations and as part of a research process to identify an intervention for subsequent testing in a randomized trial. Our pragmatic approach used the patient experience to identify areas for improvement and co-designed an intervention which directly reflected patient priorities. / National Institute for Health Research programme ‘Improving the safety and continuity of medicines management at care transitions (ISCOMAT)’ RP‐PG‐0514‐2009.

Made available in DSpace on 2014-07-29T15:01:44Z (GMT). No. of bitstreams: 1 DAnnyell Nogueira.pdf: 1253060 bytes, checksum: f659e9378a6f840582e2bff89b8b243e (MD5) Previous issue date: 2010-09-03 / The research developed sought to contribute to the conservation of groundwater resources, aiming in developing a Geographic Information System (GIS) as a tool to manage the use of groundwater targeting the sustainable use, for public supply in the city of Aparecida de Goiânia/GO. In order to achieve this, a Geographic Information System (GIS) was used for the registration of deep wells, continuing the research with a study of natural vulnerability by mapping the information obtained wich relates the potential sources of contamination. Data collection took place through a consultation with the Information System for Groundwater (SIAGAS) and through the System of Statistics and Geographic Information of the State of Goiás (SIEG). Through the database development it was possible to apply the DRASTIC method adapted by Narciso and Gomes (2005) and GOD method proposed by Foster and Hirata (1988) for mapping vulnerability to contamination of groundwater resources. In order to apply the DRASTIC method adapted, maps were generated for slope, land use, geology, geomorphology, water resources and human occupation. The map resulting from this method shows four classes: low, medium, high and very high, showing that of the 288 square kilometers of this city, almost 80% were classified as having medium vulnerability fir the groundwater quality. For the GOD method, maps of the degree of hydraulic confinement, geology and depth or distance of the groundwater level were generated. The map resulting from this process had only three classes: negligible, low and high, showing that 76% of the area was classified as having a negligible vulnerability. This occurred because this method does not consider human occupation. / A pesquisa desenvolvida buscou contribuir para a conservação dos recursos hídricos subterrâneos, tendo como objetivo o desenvolvimento de um Sistema de Informação Geográfica (SIG) como instrumento de gestão para a utilização das águas subterrâneas visando o seu uso sustentável, para o abastecimento público na cidade de Aparecida de Goiânia/GO. Para atingí-lo utilizou-se um Sistema de Informações Geográficas (SIG) para o cadastramento dos poços tubulares profundos, procedendo assim ao estudo da vulnerabilidade natural, através do mapeamento das informações obtidas, além de relacionar as fontes potenciais de contaminação. A obtenção dos dados deu-se através da consulta ao Sistema de Informações de Águas Subterrâneas (SIAGAS) e através do Sistema Estadual de Estatística e de Informações Geográficas de Goiás (SIEG). Estes dados possibilitaram a elaboração do banco de dados e a aplicação do método DRASTIC adaptado por Narciso e Gomes (2005) e do método GOD proposto por Foster e Hirata (1988), para a geração de mapas de vulnerabilidade à contaminação dos recursos hídricos subterrâneos. Para a elaboração do método DRASTIC adaptado foram gerados os mapas de declividade, uso do solo, geologia, falhas geológicas, recursos hídricos e ocupação humana. O mapa resultante desse método apresentou quatro classes: baixa, média, alta e muito alta, sendo que dos 288 quilômetros quadrados deste município, aproximadamente 80% foi classificado como tendo vulnerabilidade média para a qualidade das águas subterrâneas. Para o método GOD foram gerados os mapas de grau de confinamento hidráulico, ocorrência do substrato litológico e profundidade ou distância do nível da água subterrânea. O mapa resultante desse processo apresentou apenas três classes: desprezível, baixa e alta, sendo que 76% da área foi classificado como vulnerabilidade desprezível, por este método não considerar a ocupação humana.