In this project we explore intersubjectivity in perinatal shared care teams to transform perspectives and improve trust and transparanct. This design is a mediation to enforce intersubjectivity by combining perspectives in a participatory-sensemaking setting. This was done in a joint initiative of Philips Design, MMC, and the TU/e.

In our research, we started from a (post)phenomenological perspective. This starting point led us to explore the theory of intersubjectivity and technological mediation, as well as exploring the second person perspective. From our user research, we can conclude that the perspective of the midwife and gynecologist are different. Of course, they do still share the same goal; to provide the best possible care for the pregnant woman. However, on how to provide the best care, their perspectives differ, which they are not always aware of or understand. Because of that, it can be difficult to come to an agreement on the risk- or care path, including the priorities within this path.

In order to create transparency in the different priorities for good care and at the same time mediate to discuss these priorities, AVA has been created. AVA can be used before and during the multidisciplinary meeting. Currently, the midwife and gynecologist individually prepare for the multidisciplinary meeting, offline, by reading the patient file and recommending a risk- and care path. They take this recommendation to the multidisciplinary meeting and eventually come to an agreement. With AVA the care professionals can select the parts of the patient file they find important in establishing the risk- and care path and discuss this reasoning behind the recommendation during the multidisciplinary meeting.

The important parts of the file are loaded onto tokens (there is one for each section of the file) and are used within a physical space during the meeting. The tokens can be scanned on a board which shows layers of importance. This results in the matching part of the file appearing on the screen, and revealing who has selected it as important, thus showing commonalities and differences. The physical space can then be used to mediate discussion into which parts are important in establishing the risk- and care path as well as the rate of importance by moving the tokens, hereby creating equal information and transparency in each other’s perspective and priorities.