Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery
Abstract Background The existing digital healthcare solutions demand a service development approach that assesses needs, experience, and outcomes, to develop high-value digital healthcare services. The objective of this study was to develop a digital transformation of the patients’ follow-up service...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08073-4 |
| _version_ | 1818238507144970240 |
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| author | A. Londral S. Azevedo P. Dias C. Ramos J. Santos F. Martins R. Silva H. Semedo C. Vital A. Gualdino J. Falcão L. V. Lapão P. Coelho J. G. Fragata |
| author_facet | A. Londral S. Azevedo P. Dias C. Ramos J. Santos F. Martins R. Silva H. Semedo C. Vital A. Gualdino J. Falcão L. V. Lapão P. Coelho J. G. Fragata |
| author_sort | A. Londral |
| collection | DOAJ |
| description | Abstract Background The existing digital healthcare solutions demand a service development approach that assesses needs, experience, and outcomes, to develop high-value digital healthcare services. The objective of this study was to develop a digital transformation of the patients’ follow-up service after cardiac surgery, based on a remote patient monitoring service that would respond to the real context challenges. Methods The study followed the Design Science Research methodology framework and incorporated concepts from the Lean startup method to start designing a minimal viable product (MVP) from the available resources. The service was implemented in a pilot study with 29 patients in 4 iterative develop-test-learn cycles, with the engagement of developers, researchers, clinical teams, and patients. Results Patients reported outcomes daily for 30 days after surgery through Internet-of-Things (IoT) devices and a mobile app. The service’s evaluation considered experience, feasibility, and effectiveness. It generated high satisfaction and high adherence among users, fewer readmissions, with an average of 7 ± 4.5 clinical actions per patient, primarily due to abnormal systolic blood pressure or wound-related issues. Conclusions We propose a 6-step methodology to design and validate a high-value digital health care service based on collaborative learning, real-time development, iterative testing, and value assessment. |
| first_indexed | 2024-12-12T12:42:45Z |
| format | Article |
| id | doaj.art-656da938b1c04c5e93e0e6f7cfb8c66d |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-12T12:42:45Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-656da938b1c04c5e93e0e6f7cfb8c66d2022-12-22T00:24:10ZengBMCBMC Health Services Research1472-69632022-05-0122111310.1186/s12913-022-08073-4Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgeryA. Londral0S. Azevedo1P. Dias2C. Ramos3J. Santos4F. Martins5R. Silva6H. Semedo7C. Vital8A. Gualdino9J. Falcão10L. V. Lapão11P. Coelho12J. G. Fragata13Value for Health CoLABValue for Health CoLABValue for Health CoLABValue for Health CoLABComprehensive Health Research Center, Nova Medical School, Nova University of LisbonValue for Health CoLABValue for Health CoLABHospital de Santa Marta, Centro Hospitalar Universitário Lisboa CentralHospital de Santa Marta, Centro Hospitalar Universitário Lisboa CentralHospital de Santa Marta, Centro Hospitalar Universitário Lisboa CentralHospital de Santa Marta, Centro Hospitalar Universitário Lisboa CentralComprehensive Health Research Center, Nova Medical School, Nova University of LisbonComprehensive Health Research Center, Nova Medical School, Nova University of LisbonComprehensive Health Research Center, Nova Medical School, Nova University of LisbonAbstract Background The existing digital healthcare solutions demand a service development approach that assesses needs, experience, and outcomes, to develop high-value digital healthcare services. The objective of this study was to develop a digital transformation of the patients’ follow-up service after cardiac surgery, based on a remote patient monitoring service that would respond to the real context challenges. Methods The study followed the Design Science Research methodology framework and incorporated concepts from the Lean startup method to start designing a minimal viable product (MVP) from the available resources. The service was implemented in a pilot study with 29 patients in 4 iterative develop-test-learn cycles, with the engagement of developers, researchers, clinical teams, and patients. Results Patients reported outcomes daily for 30 days after surgery through Internet-of-Things (IoT) devices and a mobile app. The service’s evaluation considered experience, feasibility, and effectiveness. It generated high satisfaction and high adherence among users, fewer readmissions, with an average of 7 ± 4.5 clinical actions per patient, primarily due to abnormal systolic blood pressure or wound-related issues. Conclusions We propose a 6-step methodology to design and validate a high-value digital health care service based on collaborative learning, real-time development, iterative testing, and value assessment.https://doi.org/10.1186/s12913-022-08073-4Digital healthcareService designRemote patient monitoringDesign science researchReal-world validationPatient-reported outcomes |
| spellingShingle | A. Londral S. Azevedo P. Dias C. Ramos J. Santos F. Martins R. Silva H. Semedo C. Vital A. Gualdino J. Falcão L. V. Lapão P. Coelho J. G. Fragata Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery BMC Health Services Research Digital healthcare Service design Remote patient monitoring Design science research Real-world validation Patient-reported outcomes |
| title | Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery |
| title_full | Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery |
| title_fullStr | Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery |
| title_full_unstemmed | Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery |
| title_short | Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery |
| title_sort | developing and validating high value patient digital follow up services a pilot study in cardiac surgery |
| topic | Digital healthcare Service design Remote patient monitoring Design science research Real-world validation Patient-reported outcomes |
| url | https://doi.org/10.1186/s12913-022-08073-4 |
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