{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:03:04Z","timestamp":1792735384180,"version":"4.5.0"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Significant gaps exist between the preferred and the existing service ecosystem for senior citizens living at home emphasizing the need for transformation. This study aimed to develop design proposals for the preferred service ecosystem for senior citizens living at home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Nine service design workshops were conducted with multiple stakeholder groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f58), including senior citizens (aged 67\u202fyears or older), carers, health care professionals, municipal home care managers, municipal advisers, a bus driver, and representatives from the regional transportation provider. Stakeholders identified timely home care provision and age-friendly mobility as key areas for improvement. An inductive thematic analysis was applied to the workshop data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Design proposals were developed including prototypes and design principles across seven domains: (1) enabling self-reliance; (2) housing and buildings; (3) urban mobility; (4) collaboration and education; (5) real-time communication; (6) resource organization and flexible scheduling; and (7) methods and tools to reshape patterns of thought. Design principles focused on enabling sufficient time and resources, improving accessibility, and changing mental models. These proposals may support senior citizens\u2019 self-reliance, free up time and resources for service providers, and create time buffers for service delays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The design proposals demonstrate considerable interconnectedness and transferability across timely home care provision and age-friendly mobility. They may improve predictability and adaptive capacity for both senior citizens and service providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1706153","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T05:13:57Z","timestamp":1764911637000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Design proposals for the preferred service ecosystem for senior citizens living at home: a service design study"],"prefix":"10.3389","volume":"13","author":[{"given":"Christophe Eward","family":"Kattouw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Aase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petter","family":"Viksveen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.4324\/9781315628554","volume-title":"Participation in health and welfare services: professional concepts and lived experience","author":"Eide","year":"2017"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1186\/s12877-023-04303-4","article-title":"Stakeholder perspectives on the preferred service ecosystem for senior citizens living at home: a qualitative interview study","volume":"23","author":"Kattouw","year":"2023","journal-title":"BMC Geriatr"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"52","DOI":"10.3390\/geriatrics8030052","article-title":"Enhancing community participation through age-friendly ecosystems: a rapid realist review","volume":"8","author":"Sixsmith","year":"2023","journal-title":"Geriatrics"},{"key":"ref4","year":"2007"},{"key":"ref5","volume-title":"Declaration of Astana - global conference on primary health care. 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Improve your systems","volume":"26","author":"Sturmberg","year":"2020","journal-title":"J Eval Clin Pract"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"101103","DOI":"10.1115\/1.4034105","article-title":"Design principles: literature review, analysis, and future directions","volume":"138","author":"Fu","year":"2016","journal-title":"J Mech Des"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s10916-017-0848-7","article-title":"Integrated analysis of healthcare efficiency: a systematic review","volume":"42","author":"Cantor","year":"2018","journal-title":"J Med Syst"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1111\/j.1475-6773.2008.00942.x","article-title":"A systematic review of health care efficiency measures","volume":"44","author":"Hussey","year":"2009","journal-title":"Health Serv Res"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1016\/j.jbi.2014.02.017","article-title":"Time motion studies in healthcare: what are we talking about?","volume":"49","author":"Lopetegui","year":"2014","journal-title":"J Biomed Inform"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1007\/s12445-018-0062-y","article-title":"Meer tijd voor pati\u00ebnten, minder verwijzingen [More time for patients, fewer referrals]","volume":"61","author":"Jung","year":"2018","journal-title":"Huisarts wet"},{"key":"ref61","author":"Hofstad","year":"2024"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1007\/s13280-016-0800-y","article-title":"Leverage points for sustainability transformation","volume":"46","author":"Abson","year":"2017","journal-title":"Ambio"},{"key":"ref63","volume-title":"Thinking in systems: a primer","author":"Meadows","year":"2008"},{"key":"ref64","article-title":"Creating leaders for systems complexity","volume-title":"Handbook of systems sciences","author":"Southern","year":"2021"},{"key":"ref65","doi-asserted-by":"crossref","DOI":"10.1007\/978-981-15-0720-5_16","article-title":"Organizational change as emergence: a living systems perspective","volume-title":"Handbook of systems sciences","author":"Wells","year":"2021"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1706153\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T05:14:02Z","timestamp":1764911642000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1706153\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":65,"alternative-id":["10.3389\/fpubh.2025.1706153"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1706153","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,5]]},"article-number":"1706153"}}