Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution

This paper addresses a divide: economics and design remain largely disconnected despite shared concerns about shaping products, services, and social systems. We propose that bridging design theory and practices—especially the Problem-Social-Institutional (PSI) framework—into market economics can aid...

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Main Authors: Yoram Reich, Eswaran Subrahmanian
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:She Ji: The Journal of Design, Economics and Innovation
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405872625000255
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author Yoram Reich
Eswaran Subrahmanian
author_facet Yoram Reich
Eswaran Subrahmanian
author_sort Yoram Reich
collection DOAJ
description This paper addresses a divide: economics and design remain largely disconnected despite shared concerns about shaping products, services, and social systems. We propose that bridging design theory and practices—especially the Problem-Social-Institutional (PSI) framework—into market economics can aid the design of complex products and institutions. We illustrate this potential through an in-depth analysis of the evolution of US, Canadian, and British medical residency matching markets, which assign medical graduates to hospitals. Initially considered a purely optimal allocation problem, these markets repeatedly failed, stemming mainly from information asymmetry and shifting participant needs. With PSI, we show how changes in problem framing, stakeholder roles, and institutional structures can realign these markets toward stability and better outcomes. This transdisciplinary view positions market design as an iterative, evolving process, much like engineering a product or service. Our conclusions suggest that economists can benefit from design theories such as PSI and design practices such as prototyping, simulation, and stakeholder engagement. Further, we contend that design theorists stand to deepen their practice by incorporating economic considerations that are largely ignored. PSI is positioned as a bridge between design and economics to serve as a common language and framework.
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spelling doaj-art-e23df8ea75624e75bf560315d770aa0f2025-08-20T03:26:48ZengElsevierShe Ji: The Journal of Design, Economics and Innovation2405-87262025-01-0111221723510.1016/j.sheji.2025.03.001Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market EvolutionYoram Reich0Eswaran Subrahmanian1School of Mechanical Engineering, Tel Aviv University, Israel; Corresponding author.College of Engineering, Carnegie Mellon University, USAThis paper addresses a divide: economics and design remain largely disconnected despite shared concerns about shaping products, services, and social systems. We propose that bridging design theory and practices—especially the Problem-Social-Institutional (PSI) framework—into market economics can aid the design of complex products and institutions. We illustrate this potential through an in-depth analysis of the evolution of US, Canadian, and British medical residency matching markets, which assign medical graduates to hospitals. Initially considered a purely optimal allocation problem, these markets repeatedly failed, stemming mainly from information asymmetry and shifting participant needs. With PSI, we show how changes in problem framing, stakeholder roles, and institutional structures can realign these markets toward stability and better outcomes. This transdisciplinary view positions market design as an iterative, evolving process, much like engineering a product or service. Our conclusions suggest that economists can benefit from design theories such as PSI and design practices such as prototyping, simulation, and stakeholder engagement. Further, we contend that design theorists stand to deepen their practice by incorporating economic considerations that are largely ignored. PSI is positioned as a bridge between design and economics to serve as a common language and framework.http://www.sciencedirect.com/science/article/pii/S2405872625000255market designresidency matching marketpractice groundingbootstrappingdesign economics
spellingShingle Yoram Reich
Eswaran Subrahmanian
Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution
She Ji: The Journal of Design, Economics and Innovation
market design
residency matching market
practice grounding
bootstrapping
design economics
title Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution
title_full Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution
title_fullStr Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution
title_full_unstemmed Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution
title_short Bridging Design and Economics: A PSI Framework Analysis of Residency Matching Market Evolution
title_sort bridging design and economics a psi framework analysis of residency matching market evolution
topic market design
residency matching market
practice grounding
bootstrapping
design economics
url http://www.sciencedirect.com/science/article/pii/S2405872625000255
work_keys_str_mv AT yoramreich bridgingdesignandeconomicsapsiframeworkanalysisofresidencymatchingmarketevolution
AT eswaransubrahmanian bridgingdesignandeconomicsapsiframeworkanalysisofresidencymatchingmarketevolution