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Healthcare Service Design Research Speculative

Designing the future of healthcare experiences at Sheares

Project Future of Healthcare
Client Sheares Healthcare
Role Designer-Researcher, AGENCY Singapore
Timeline Sep–Dec 2019 · 12 weeks

A 12-week project to envision the future of healthcare for Singapore. The client — a global investor arm under Singapore's largest state-owned enterprise — tasked the team with articulating a future version of healthcare that is empathetic, collaborative, and patient-centric.

My work spanned in-depth research to understand the current landscape and opportunity spaces, then developing core experience principles and future concepts intended as service standards across the client's geographical assets.

Healthcare is immensely complex. Where should we even start?

Designing for healthcare is inherently difficult — many overlapping systems, considerations, and obvious areas to improve. Taking a human-centered approach, we focused on the human experience of healthcare: what people think, feel, and interact with.

Using design thinking as our methodology, we created future scenarios that were immediately tangible — new spaces, products, interactions, and tools.

Empathize Define Ideate Prototype Test

To get a comprehensive understanding of the care experience, we spoke to patients and caregivers across the spectrum of age and ailments.

30 y/o
Young parents of a newborn
24 y/o
Young caregiver of a parent with cancer
35 y/o
Young survivor of cancer
50 y/o
Grab driver with diabetes
55 y/o
Retired son caring for an elderly parent
82 y/o
Active elderly with multiple conditions

Patients and caregivers are only half of the equation. Care professionals are equally important — they're the ones delivering the experience to those in need — so we made sure we listened to the struggles of care providers and professionals too.

We spoke to over 36 individuals — patients, caregivers, and health professionals. For 90 minutes each, we went deep on their experiences with healthcare. Through empathy mapping and journey mapping, we captured the vivid emotions and pain points they experienced along the way.

One person stayed with us: Kenneth, 32 — an overworked young doctor.

"I chose to be a doctor to help people, yet I feel so helpless at my job."

"I know it's important to treat the patient not just as their organs, but as the whole person too… but I really have no time."

"Patients don't listen to us anymore. With Google, they think they know as much as we do and don't trust our expertise."

Kenneth, 32 — Overworked young doctor
Empathy map for Kenneth, 32, an overworked young doctor, organized into Say, Do, Think, and Feel quadrants — capturing his frustrations with patients, his exhausting daily routine, his sense of burnout, and his disillusionment with the job

Behind the quotes, his empathy map told a fuller story: no recreation and straight to work every day, not enough sleep, dreaming about patient cases, a special effort just to eat breakfast in peace — burnt out, disillusioned, and with no support among peers for what he does.

Comparing two cancer journeys to find the moments that matter.

We compared the experiences of Cheryl and Millie — two people with vastly different experiences of cancer. We asked interview subjects to plot their own healthcare journeys for two reasons: to help them recall what they actually experienced, and to surface the moments with the strongest emotional charge, where a redesign would be most impactful.

Emotional journey map comparing Cheryl and Millie across three phases — Uncertainty, Recovery, and Readjustments. Cheryl's line rises steadily from biopsy and results through her first day of chemo to a positive return to work. Millie's line swings sharply between positive and negative, dipping again at her own first day of chemo before an uncertain recovery.
On receiving bad news

"I'll never forget the day it was confirmed. I never knew I could feel so… devastated. What is going to happen to my two daughters?"

Cheryl
Cheryl, 35
Recently diagnosed with cancer

"When they told us the news… it took me a long time to react. I really didn't know what to do after that."

Millie
Millie, 24
Young caregiver of parent with cancer
On their first chemo session

"The nurses took such good care of me — they saved my favourite seat in the clinic and greeted me like a friend. I felt a lot better because of that."

Cheryl
Cheryl, 35
Recently diagnosed with cancer

"I felt so bad that I couldn't be there with my dad for his first chemo. He sent us pictures of the clinic and the apparatus and I was so worried — it looked so painful."

Millie
Millie, 24
Young caregiver of parent with cancer

Why was Cheryl's journey so optimistic while Millie's was full of ups and downs?

Comparing the journeys surfaced three principles for a better experience.

Leave no room for doubt
Health episodes are filled with overwhelming doubts. To soothe their worries, patients search online for information on symptoms and advice — behaviour driven by a fundamental need for assurance that care providers often can't give. It strains the doctor–patient relationship as patients start to second-guess the advice they're given.
See a patient holistically, not just their ailments
Most interactions in health focus only on ailments, illness, and injury episodes — but biology is just one aspect of a person's life that influences well-being. How well someone recovers depends on everything else too: healthy daily routines, strong support networks, and emotional coping — areas that are routinely overlooked.
Health is a team effort
Recognizing that recovery involves every aspect of a patient's life, expanding the core care team to include dieticians, physiologists, and family therapists keeps patients healthier in the long run.

From Cheryl and Millie's journeys, we recognized that the first impactful moment of care starts at the very beginning. We prototyped a future concept around a care team that extends beyond the hospital.

A care team beyond the hospital

Introducing a care team that can give advice outside the confines of a hospital helps prevent uncertainties from building up. A patient's health worries become a team effort, relieving considerable load from doctors and nurses.

Introduction screen inviting patients to ask their care team a question, with a photo of a doctor and patient talking.
Introduction
To show we understand what patients are going through, the introduction emphasizes our commitment to be there for them — and the availability of experts across various fields.
Ask My Care Team home screen with a search bar and topics to browse by category.
Categories
Categories guide patients in formulating their questions.
Direct chat screen with a dietician answering a patient's question about diet after chemo.
Direct chat
Chat lets patients seek help directly from their care team for reliable information and assurance.
Question Bank screen listing sample questions filterable by topics like diet, symptoms, exercise, and medication.
Sample questions
Many patients filter "serious" from "frivolous" questions — yet issues like diet and emotional state are often vital to recovery but deemed "not medical enough" to raise. Sample questions signal that all questions are welcome.

Doctor's view. A doctor's advice is only as helpful as what the patient lets in during consultation — and doctors often miss critical information because patients are vague about what's affecting them. With a view of the patient's question log, doctors get a more accurate picture and give the right advice. The greater the transparency, the less room for doubt, and the stronger the doctor–patient relationship.

Doctor's view of a patient's information, including their question log and appointment history.

Due to the stakes involved, healthcare is a challenging domain to design for. These are small steps in moving the needle — toward a more collaborative, empathic, and compassionate future in healthcare.


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