We reconsider the role of participatory design approaches emphasizing the current context of the accreditation regime imposed on the Danish healthcare sector. We describe effects-driven IT development as an instrument supporting sustained participatory design. Effects-driven IT development includes specifying, realizing, and measuring effects from using an information technology. This approach aligns with much of the logic inherent in accreditation and it supports challenging parts of the accreditation process. Effects-driven IT development furthermore might support effects related to clinical evidence-based thinking. We describe and compare effects-driven IT development with accreditation and discuss the prospects and challenges for this approach to participatory design within the healthcare domain.
Keywords: Accreditation, Participatory Design, Effects-Driven IT Development, Healthcare