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Unlocking Service Flow—Fast and Frugal Digital Healthcare Design

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Design of Assistive Technology for Ageing Populations

Part of the book series: Intelligent Systems Reference Library ((ISRL,volume 167))

Abstract

This paper reports on the discovery phase of an e-consultation project that aimed to deliver a technology-enabled service for consultations between healthcare professionals and patients using digital communication tools. The project involved a mixed methods research phase that supported Agile service design work. A number of learnings were derived from the project and these are contextualised into a Flow Methodology for agile service design, delivery and operations.

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References

  1. Ahadzadeh, A.S., Pahlevan, S.S., Ong, F.S., Khong, K.W.: Integrating health belief model and technology acceptance model: an investigation of health-related Internet use. J. Med. Internet Res. 17(2), e45 (2015)

    Article  Google Scholar 

  2. Ball, M.J., Lillis, J.: E-Health: transforming the physician/patient relationship. Int. J. Med. Inform. 61(1), 1–10 (2001)

    Article  Google Scholar 

  3. Banos, O., Villalonga, C., Garcia, R., Saez, A., Damas, M., Holgado-Terriza, J.A., Lee, S., Pomares, H., Rojas, I.: Design, implementation and validation of a novel open framework for agile development of mobile health applications. Biomed. Eng. Online 14(Suppl2). S6 (2015)

    Google Scholar 

  4. Bate, P., Robert, G.: Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Qual. Saf. Healthc. 15(5), 307–310 (2006)

    Article  Google Scholar 

  5. Beck, K., Grenning, J., Martin, R.C., Beedle, M., Highsmith, J., Mellor, S., van Bennekum, A., Hunt, A., Schwaber, K., Cockburn, A., Jeffries, R., Sutherland, J., Cunningham, W., Kern, J., Thomas, D., Fowler, M., & Marick, B.: Manifesto for Agile Software Development. http://agilemanifesto.org (2001). Accessed on 27 Jan 2018

  6. Bennani, A.E., Oumlil, R.: IT acceptance by nurses in Morocco: application of a modified unified theory of acceptance and use of technology. IBIMA Bus. Rev 1–10 (2014)

    Google Scholar 

  7. Bødker, S., Ehn, P., Kammersgaard, J., Kyng, M., Sundblad, Y.: A Utopian experience. In: Bjerknes, G., Ehn, P., Kyng, M. (eds.), Computers and democracy: a Scandinavian Challenge. Avebury (1987).

    Google Scholar 

  8. Bowen, S., McSeveny, K., Lockley, E., Wolstenholme, D., Cobb, M, Dearden, A.: How was it for you? Experiences of participatory design in the UK Health Service. Co-Design 9(4) (2013)

    Google Scholar 

  9. Charles, C., Whelan, T., Gafni, A.: What do we mean by partnership in making decisions about treatment? BMJ: Brit. Med. J. 319(7212), 780–782 (1999)

    Article  Google Scholar 

  10. Christmann, S.: The impact of online health information on the doctor-patient relationship. In: Master’s Thesis, London School of Economics. [Retrieved 14/08/2017] from Media@lse Electronic MSc Dissertation Series (2013)

    Google Scholar 

  11. Cimperman, M., Brenčič, M.M., Trkman, P.: Analyzing older users’ home Telehealth services acceptance behavior—applying an extended UTAUT model. Int. J. Med. Informatics 90, 22–31 (2016)

    Article  Google Scholar 

  12. Clemensen, J., Larsen, S.B, Kirkevold, M, Kyng, M.: Participatory design in health sciences: using cooperative-experimental methods in developing health services and computer technology. Qual. Health Res. 17(1) (2007)

    Google Scholar 

  13. Davis, F.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 13(3), 319–340 (1989)

    Google Scholar 

  14. Donetto, S., Pierri, P., Tsianakas, V., Robert, G.: Experience-based co-design and healthcare improvement: realizing participatory design in the public sector. Des. J. 18(2), 227–248 (2015)

    Google Scholar 

  15. Griffiths, F., Bryce, C., Cave, J., Dritsaki, M., Fraser, J., Hamilton, K., Huxley, C., Ignatowicz, A., Kim, S.W., Kimani, P.K., Madan, J., Slowther, A.M., Sujan, M., Sturt, J.: Timely digital patient-clinician communication in specialist clinical services for young people: a mixed-methods study (The LYNC study). J. Med. Internet Res. 19(4), e102 (2017)

    Article  Google Scholar 

  16. Holden, R.J., Karsh, B.T.: The technology acceptance model: its past and its future in health care. J. Biomed. Inf. 43, 159–172 (2010)

    Article  Google Scholar 

  17. Hu, P.J., Chau, P.Y.K., Liu Sheng, O.R., Yan Tam, K.: Examining thetechnology acceptance model using physician acceptance of telemedicine technology. J. Manage Inf. Syst. 16(2), 91–112 (1999)

    Article  Google Scholar 

  18. Keely, E., Liddy, C., Afkham, A.: Utilization, benefits, and impact of an e-consultation service across diverse specialties and primary care providers. Telemedicine J. e-health Off. J. Am. Telemedicine Assoc. 19, 733–738 (2013)

    Google Scholar 

  19. Knight, J.: The experience design framework: supporting design thinking in the sevice domain. In: Miettinen, S, Valtonen, A (eds.) Service Design with Theory. Discussion on Value, Societal Change and Methods. Lapland University Press (2012)

    Google Scholar 

  20. Knight, J.: Ideation Games. https://www.slideshare.net/WorldofKnight/radical-innovation-33889361 (2014). Accessed 2nd Jan 2018

  21. Lee, S.: Evaluating serviceability of healthcare servicescapes: service design perspective. Int. J. Des. 5(2), 61–71 (2011)

    Google Scholar 

  22. Liddy, C., Rowan, M.S., Afkham, A., Maranger, J., Keely, E.: Building access to specialist care through e-consultation. Open Med. 7(1), e1–e8 (2013)

    Google Scholar 

  23. Liddy, C., Afkham, A., Drosinis, P., Joschko, J., Keely, E.: Impact of and Satisfaction with a new eConsult service: a mixed methods study of primary care providers. J. Am. Board Fam. Med. 28(3), 394–403 (2015)

    Google Scholar 

  24. Liddy, C., Drosinis, P., Keely, E.: Electronic consultation systems: worldwide prevalence and their impact on patient care-a systematic review. Fam. Pract. 33(3), 274–285 (2016)

    Google Scholar 

  25. Muller, M.J.: Participatory design: the third space in HCI. In: Jacko, J.A., Sears, A. (eds.), The Human Computer Interaction Handbook, L. Erlbaum Associates Inc., Hillsdale, NJ, USA, pp. 1051–1068 (2002)

    Google Scholar 

  26. Nijland, N., van Gemert-Pijnen, J.E.W.C., Kelders, S.M., Brandenburg B. J., Seydel, E.R.: Evaluation of the use of an ask-the-expert e-consultation service for support on health-related requests. In: Proceedings, 2010 Second International Conference on eHealth, Telemedicine, and Social Medicine, St. Maarten, pp. 72–76 (2010)

    Google Scholar 

  27. Nijland, N., van Gemert-Pijnen, J.E.W.C., Boer, H. Steehouder, M.F., Seydel, E.R.: Increasing the use of e-consultation in primary care: results of an online survey among non-users of e-consultation. Int. J. Med. Inf. 78(10), 688–703 (2009)

    Google Scholar 

  28. Patel, V.L., Kushniruk, A.W.: Medical informatics and the Communications. Graphics and Web design based science of cognition. J. Am. Med. Inf. Assoc. 5(6), 493–502 (1998)

    Google Scholar 

  29. Pilemalm, S., & Timpka, T.: Third generation participatory design in health informatics-Making user participation applicable to large-scale information system projects. J. Biomed. Inf. 41(2), 327–339 (2008)

    Google Scholar 

  30. Ritchie, J., Lewis, J.: Qualitative Research Practice: A Guide for Social Science Students and Researchers. Sage, London (2003)

    Google Scholar 

  31. Robert, G., Cornwell, J., Locock, L., Purushotham, L,. Sturmey, G., Gager, M.: Patients and staff as codesigners of healthcare services. BMJ 350, g7714 (2015)

    Google Scholar 

  32. Shostack, L.: How to design a service. Eur. J. Mark. 16(1), 49–63 (1982)

    Article  Google Scholar 

  33. Taleb-Bendiab, A., England, D., Randles, M., Miseldine, P., Murphy, K.: A principled approach to the design of healthcare systems: autonomy vs governance. Reliab. Eng. Syst. Saf. 91(12), 1576–1585 (2006)

    Article  Google Scholar 

  34. Tsianakas, V., Robert, G., Maben, J., Richardson, A., Dale, C., Wiseman, T.: Implementing patient-centred cancer care: using experience-based co-design to improve patient experience in breast and lung cancer services. Support. Care Cancer 20(11), 2639–2647 (2012)

    Article  Google Scholar 

  35. Wald, H.S., Dube, C.E., Anthony, D.C.: Untangling the web—the impact of internet use on health care and the physician-patient relationship. Patient Educ. Couns. 68, 218–224 (2007)

    Article  Google Scholar 

  36. Vink, J., Mahr, D., Odekerken-Schröder, G.: Shifting the balance of power in healthcare through service design. In: Mager, B. (ed.) Service Design Impact Report—Health Sector Service Design Network (2017)

    Google Scholar 

  37. Weiner, J.P.: Doctor-patient communication in the e-health era. Israel J. Health Policy Res. 1(1), 33 (2012)

    Article  Google Scholar 

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Knight, J., Ross, E., Gibbons, C., McEwan, T. (2020). Unlocking Service Flow—Fast and Frugal Digital Healthcare Design. In: Woodcock, A., Moody, L., McDonagh, D., Jain, A., Jain, L. (eds) Design of Assistive Technology for Ageing Populations. Intelligent Systems Reference Library, vol 167. Springer, Cham. https://doi.org/10.1007/978-3-030-26292-1_9

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