Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development
Intro: Digital tools and services are becoming the standard for delivery of health care, especially hastened by the restrictions and needs during the COVID-19 pandemic. While early experiences with telemedicine have been a foundation for modern day digital tool development, the use of co-creation, u...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Computer Methods and Programs in Biomedicine Update |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666990023000307 |
| _version_ | 1797398984294137856 |
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| author | Lars Münter Danielle Drachmann Mouna Ghanem Yvonne Prinzellner Carolien Smits Katharina Werner Vera Bulsink Isabel Schwaninger Lex Van Velsen Nicolaj Holm Faber |
| author_facet | Lars Münter Danielle Drachmann Mouna Ghanem Yvonne Prinzellner Carolien Smits Katharina Werner Vera Bulsink Isabel Schwaninger Lex Van Velsen Nicolaj Holm Faber |
| author_sort | Lars Münter |
| collection | DOAJ |
| description | Intro: Digital tools and services are becoming the standard for delivery of health care, especially hastened by the restrictions and needs during the COVID-19 pandemic. While early experiences with telemedicine have been a foundation for modern day digital tool development, the use of co-creation, user meta dialogue, and follow up services are often short and few. This represents a powerful potential for designing upcoming services for a multi-level platform. This requires, however, equity in digital health literacy, which is often not the case. Rather than seeing effect or impact as the outcome of the service itself, the value of including and referencing user expectations before and after the session holds an even stronger value; therefore we've explored and created a new co-design approach to digital development we call the 40-20-40 model. Results: Using the 40-20-40 approach we focus on early user communication and input as a part of the specific session or service design, a prologue-phase, that gathers vital input to align expectations. After the specific intervention-phase, we utilise the epilogue-phase as an extension of the intervention itself, an echo of the prologue, and a gathering of user outcomes. We believe the pro- and epilogue phases represent a total of 80% of the overall impact of our services. We also argue that digital developers and public health service providers would benefit from a stronger use of this design model to improve the quality of care and the use and impact of care services, in particular for patients with limited digital health literacy. |
| first_indexed | 2024-03-09T01:33:25Z |
| format | Article |
| id | doaj.art-a16c5273b8544eed8012fd386d32afac |
| institution | Directory Open Access Journal |
| issn | 2666-9900 |
| language | English |
| last_indexed | 2024-03-09T01:33:25Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Computer Methods and Programs in Biomedicine Update |
| spelling | doaj.art-a16c5273b8544eed8012fd386d32afac2023-12-09T06:08:32ZengElsevierComputer Methods and Programs in Biomedicine Update2666-99002023-01-014100122Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital developmentLars Münter0Danielle Drachmann1Mouna Ghanem2Yvonne Prinzellner3Carolien Smits4Katharina Werner5Vera Bulsink6Isabel Schwaninger7Lex Van Velsen8Nicolaj Holm Faber9The Danish Committee for Health Education, Copenhagen, Denmark; Corresponding author at: Tranegårdsvej 50, st mf - 2900 Hellerup.Ketotic Hypoglycemia International, Skanderborg, DenmarkWomen for Peace, SpainSt. Pölten University for Applied Science, AustriaPharos, Dutch Centre of Expertise on Health Disparities, Utrecht, The NetherlandsTU Wien (Vienna University of Technology), Institute of Visual Computing and Human-Centered Technology, Vienna, AustriaMedich Spectrum Twente, Twente, The NetherlandsTU Wien (Vienna University of Technology), Institute of Visual Computing and Human-Centered Technology, Vienna, Austria; Digital Medicine Group, Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Luxembourg, LuxembourgNedap Healthcare, Groenlo, The NetherlandsSteno Diabetes Center Zealand, Holbaek, DenmarkIntro: Digital tools and services are becoming the standard for delivery of health care, especially hastened by the restrictions and needs during the COVID-19 pandemic. While early experiences with telemedicine have been a foundation for modern day digital tool development, the use of co-creation, user meta dialogue, and follow up services are often short and few. This represents a powerful potential for designing upcoming services for a multi-level platform. This requires, however, equity in digital health literacy, which is often not the case. Rather than seeing effect or impact as the outcome of the service itself, the value of including and referencing user expectations before and after the session holds an even stronger value; therefore we've explored and created a new co-design approach to digital development we call the 40-20-40 model. Results: Using the 40-20-40 approach we focus on early user communication and input as a part of the specific session or service design, a prologue-phase, that gathers vital input to align expectations. After the specific intervention-phase, we utilise the epilogue-phase as an extension of the intervention itself, an echo of the prologue, and a gathering of user outcomes. We believe the pro- and epilogue phases represent a total of 80% of the overall impact of our services. We also argue that digital developers and public health service providers would benefit from a stronger use of this design model to improve the quality of care and the use and impact of care services, in particular for patients with limited digital health literacy.http://www.sciencedirect.com/science/article/pii/S2666990023000307Co-creationEmpowermentDigital health literacyHealth literacySelf-management |
| spellingShingle | Lars Münter Danielle Drachmann Mouna Ghanem Yvonne Prinzellner Carolien Smits Katharina Werner Vera Bulsink Isabel Schwaninger Lex Van Velsen Nicolaj Holm Faber Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development Computer Methods and Programs in Biomedicine Update Co-creation Empowerment Digital health literacy Health literacy Self-management |
| title | Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development |
| title_full | Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development |
| title_fullStr | Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development |
| title_full_unstemmed | Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development |
| title_short | Transforming health systems with design health literacy: Presenting the 40-20-40 model for digital development |
| title_sort | transforming health systems with design health literacy presenting the 40 20 40 model for digital development |
| topic | Co-creation Empowerment Digital health literacy Health literacy Self-management |
| url | http://www.sciencedirect.com/science/article/pii/S2666990023000307 |
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