The potential of service design for improving the implementation of shared decision-making

Griffioen, Ingeborg; Melles, Marijke; Stiggelbout, Anne M.; Snelders, Dirk

doi:10.1080/24735132.2017.1386944

Cited by 19 publications

(19 citation statements)

References 47 publications

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“…The domain of consumer health IT has embraced human factors and usability methods 40 . Participation of patients and caregivers in health IT design processes can not only help to produce more usable technologies, but also lead to other benefits and patient-centered outcomes such as empowerment and shared decision making 41 .…”

Section: Human-centered Design Of Health Itmentioning

confidence: 99%

Human Factors and Usability for Health Information Technology: Old and New Challenges

2019

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Objectives: Despite national mandates, incentives, and other programs, the design of health information technology (IT) remains problematic and usability problems continue to be reported. This paper reviews recent literature on human factors and usability of health IT, with a specific focus on research aimed at applying human factors methods and principles to improve the actual design of health IT, its use, and associated patient and clinician outcomes. Methods: We reviewed recent literature on human factors and usability problems of health IT and research on human-centered design of health IT for clinicians and patients. Results: Studies continue to show usability problems of health IT experienced by multiple groups of health care professionals (e.g., physicians and nurses) as well as patients. Recent research shows that usability is influenced by both designers (e.g., IT vendors) and implementers in health care organizations, and that the application of human-centered design practices needs to be further improved and extended. We welcome emerging research on the design of health IT for teams as team-based care is increasingly implemented throughout health care. Conclusions: Progress in the application of human factors methods and principles to the design of health IT is occurring, with important information provided on their actual impact on care processes and patient outcomes. Future research should examine the work of health IT designers and implementers, which would help to develop strategies for further embedding human factors engineering in IT design processes.

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Section: Human-centered Design Of Health Itmentioning

confidence: 99%

Human Factors and Usability for Health Information Technology: Old and New Challenges

2019

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“…Smart innovation options relying on advanced multimedia technologies have had long research and development trajectories to reach a clinically proven state of feasibility. Such medicalengineering approaches with advanced technologies often lack a patient perspective and integrated service design (Griffioen et al 2017).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

“…In connection to the shift towards a person-centred perspective, more collaborations with designers and an increased interest in user-centred design approaches can be seen (Wildevuur 2017). To keep healthcare viable, integrated approaches for applied internet technologies and serviced design are needed that take the patient perspective into consideration (Sun et al 2014;Oosterholt et al 2017;Griffioen et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Patient journey method for integrated service design

2019

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In this article, we focus on the design method of mapping the patient journey in order to support the inclusion of the patient perspective into care service innovations. Increasingly, designers in health use the patient journey approach, however, its method is relatively poorly documented. To ground the activities of the patient journey method, we conducted an in-depth case study of integrated service design with impact on improved patient satisfaction the case of gastrointestinal diagnose service with video endoscopy technology. The results revealed four distinct activities of the patient journey method: (1) Analyse the care service system; (2) Experience the journey yourself, observe and sketch it; (3) Co-design the patient journey: craft the journey toolkit, interview and synthesize; (4) Evaluate the patient journey for integrated service design.

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“…Service design is not often used in health care [ 46 ], as different quantitative approaches and statistical outcomes have been more valued than qualitative methods [ 47 ]. The service design approach considers the needs and expectations of the different stakeholders who are involved in and impacted by the service [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Data-Driven Personalization of a Physiotherapy Care Pathway: Case Study of Posture Scanning

Korhonen

Väyrynen

Krautwald

et al. 2020

JMIR Rehabil Assist Technol

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Background Advanced sensor, measurement, and analytics technologies are enabling entirely new ways to deliver health care. The increased availability of digital data can be used for data-driven personalization of care. Data-driven personalization can complement expert-driven personalization by providing support for decision making or even by automating some parts of decision making in relation to the care process. Objective The aim of this study was to analyze how digital data acquired from posture scanning can enhance physiotherapy services and enable more personalized delivery of physiotherapy. Methods A case study was conducted with a company that designed a posture scan recording system (PSRS), which is an information system that can digitally record, measure, and report human movement for use in physiotherapy. Data were collected through interviews with different stakeholders, such as health care professionals, health care users, and the information system provider, and were analyzed thematically. Results Based on the results of our thematic analysis, we propose three different types of support that posture scanning data can provide to enhance and enable more personalized delivery of physiotherapy: 1) modeling the condition, in which the posture scanning data are used to detect and understand the health care user’s condition and the root cause of the possible pain; 2) visualization for shared understanding, in which the posture scanning data are used to provide information to the health care user and involve them in more collaborative decision-making regarding their care; and 3) evaluating the impact of the intervention, in which the posture scanning data are used to evaluate the care progress and impact of the intervention. Conclusions The adoption of digital tools in physiotherapy has remained low. Physiotherapy has also lacked digital tools and means to inform and involve the health care user in their care in a person-centered manner. In this study, we gathered insights from different stakeholders to provide understanding of how the availability of digital posture scanning data can enhance and enable personalized physiotherapy services.

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The potential of service design for improving the implementation of shared decision-making

Cited by 19 publications

References 47 publications

Human Factors and Usability for Health Information Technology: Old and New Challenges

Human Factors and Usability for Health Information Technology: Old and New Challenges

Patient journey method for integrated service design

Data-Driven Personalization of a Physiotherapy Care Pathway: Case Study of Posture Scanning

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