Exploring the Use of a Participative Design in the Early Development of a Predictive Test: The Importance of Physician Involvement

Abstract

In this study, we contribute to the personalized medicine and health care management literature by developing and testing a new participative design approach. We propose that involving gastroenterologists in the development of a predictive test to assist them in their clinical decision-making process for the treatment of inflammatory bowel diseases will increase the likelihood of their acceptance of the innovation. Based on data obtained from 6 focus groups across Canada from a total of 28 physicians, analyses reveal that current tools do not enable discriminating between treatment options to find the best fit for each patient. Physicians expect a new predictive tool to have the capability of showing clear reliability and significant benefits for the patient, while being accessible in a timely manner that facilitates clinical decisions. Physicians also insist on their key role in the implementation process, hence confirming the relevance and importance of participative designs in personalized medicine.

The acceptance of telemedicine by physicians in Brazil: An institutional theory view

“…These players may experience different influences on the resistance to or acceptance of technology innovation in healthcare. Among these professionals, physicians tend to be the main technical references in the healthcare industry (Veilleux et al, 2017; Wade et al, 2016) and one of the most important players for the diffusion of innovations, as is the case of telemedicine. That is why they are the target group of our research.…”

Mieux comprendre le rôle de la mobilisation des connaissances dans l’écosystème d’innovation lié à la transformation alimentaire

“…Finalement, les diététistes-nutritionnistes évoluant dans le domaine de la recherche sont invitées à prendre en considération la mobilisation des connaissances dès la formulation de la question de recherche. Des organisations peuvent servir d'intermédiaires, notamment au sein des institutions universitaires, pour soutenir cette réflexion (36,37). Par exemple, le Service de soutien à l'innovation, à l'INAF, pourrait ouvrir le dialogue entre une entreprise et le milieu de la recherche et les aiguiller vers la définition des attentes et des objectifs d'une telle collaboration.…”

Fatores Que Influenciam a Aceitação De Telemedicina Por Médicos No Brasil

“…Os médicos exercem um papel chave na difusão de inovações quando participam do seu processo de criação de desenvolvimento. Veilleux et al (2017) acompanharam o desenvolvimento de uma tecnologia para tratamento de doenças inflamatórias de intestino e mostraram que a participação de médicos gastroenterologistas desde o início do processo é fator chave para a posterior aceitação de profissionais da área. Borracci & Giorgi (2018) mostram que a adoção de inovações por respeitados médicos veteranos, que agem na condição de líderes no seu meio, é fator fundamental na difusão de inovações.…”