健康和社会护理的可持续性导致必须将护理平衡转移到社区,并支持以人为本,集成,预防性,Comanaged,可持续的护理。数字工具集可以支持这种转变;但是,它必须超越临床重点,包括更广泛的个人,社会,和环境需求,经验,和结果。现有的数字医疗保健设计和用户需求文献主要集中在特定的数字产品或设计方法上。几乎没有全系统或终身考虑,这对于实施跨越不同组和域的更重要的转换至关重要。
本研究旨在提出一系列用户对数字健康和护理服务的重复需求和主题,这些需求和主题来自数字健康和护理计划中的共同设计项目。这项研究旨在使人们和组织能够将他们的健康和护理研究方法重新定位,并从系统主导和特定条件的方法转变为以人为中心的方法。终身模型。
参与式设计形成了设计研究的核心方法论方法,从中得出用户需求。反映需求的过程涉及用于确定合格项目的选择框架和用于合并用户需求的结构化审查过程。
本文介绍了一组14个常见的用户需求,这些需求来自对协同设计项目的回顾。研究结果表明,与如何整合数据以改善护理和结果相关的公民和护理专业人员的需求重叠和增强。本文讨论了对齐,对比,和更广泛的差距,可比较的文学。它强调了围绕个人健康故事讲述要求的共识,共享有关护理体验的数据,以及如何支持个性化指导,可视化趋势以支持决策,并普遍改善公民和护理专业人员之间的对话。这些发现确定了群体和网络之间的差距,为设计支持服务的人们提出了难题,因为在孤岛中运营的组织不容易满足某些用户需求。
这项研究为积极的公民提出了未来的建议,被告知,并同意合作伙伴使用新形式的保护隐私的数字基础设施,使公民在公司的控制。还建议开发新的数字服务的人们使用这些发现,以确保他们可以从更广泛的用户需求上下文的知识开始。这应该为特定领域的研究和开发问题和过程提供信息。需要进一步的工作来扩展这些共同要求,以便更明确地考虑公民在广泛的正式和非正式行为者中管理其数据和护理时所需的信任框架。考虑如何权威,代表团,公众之间的信任功能将至关重要。
The sustainability of health and social care has led to an imperative to shift the balance of care to communities and support person-centered,
integrated, preventive, comanaged, and sustainable care. The digital tool set can support this shift; however, it must extend beyond a clinical focus to include broader personal, social, and environmental needs, experiences, and outcomes. The existing digital health and care design and user requirements literature focuses mainly on specific digital products or design methods. There is little whole-system or whole-of-life consideration, which is crucial to enacting more significant transformations that span different groups and domains.
This study aimed to present a set of recurring user requirements and themes for comanaged digital health and care services derived from the body of co-design projects within a digital health and care program. This study aimed to enable people and organizations looking to reorient their approach to health and care research and delivery from a system-led and condition-specific approach to a more person-centric, whole-of-life model.
Participatory design formed the core methodological approach in underlying the design research, from which user requirements were derived. The process of surfacing requirements involved a selection framework for the identification of eligible projects and a structured
review process to consolidate user requirements.
This paper presents a set of 14 common user requirements that resulted from a
review of co-design projects. The findings demonstrate overlapping and reinforcing sets of needs from citizens and care professionals related to how data are comanaged to improve care and outcomes. This paper discusses the alignment, contrasts, and gaps with broader, comparable literature. It highlights consensus around requirements for personal health storytelling, sharing data on care experiences and how this can support personalized guidance, visualize trends to support decision-making, and generally improve dialog between a citizen and care professionals. These findings identify gaps around how groups and networks of people engage, posing difficult questions for people designing support services as some of the user requirements are not easily met by organizations operating in silos.
This study proposes future recommendations for citizens as active, informed, and consenting partners using new forms of privacy-preserving digital infrastructure that puts the citizen in firm control. It is also recommended that these findings be used by people developing new digital services to ensure that they can start with knowledge of the broader user requirement context. This should inform domain-specific research and development questions and processes. Further work is needed to extend these common requirements to more explicitly consider the trust framework required when citizens comanage their data and care across a broad range of formal and informal actors. Consideration of how authority, delegation, and trust function between members of the public will be critical.