Developing and validating high-value patient digital follow-up services

Detalhes bibliográficos
Autor(a) principal: Londral, A
Data de Publicação: 2022
Outros Autores: Azevedo, Salomé, Dias, P., Ramos, C., Santos, J., Martins, F., Silva, R., Semedo, H., Vital, C., Gualdino, A., Falcão, J., Lapão, Luis Velez, Coelho, P., Fragata, José G.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/140655
Resumo: Funding This work was supported by Fraunhofer AICOS and Vodafone Portugal and funded by the National Foundation of Science and Technology under the projects DSAIPA/AI/0094/2020 and Lisboa-05-3559-FSE-3.
id RCAP_8f014bd46c92e24edf7f1da0032fc20d
oai_identifier_str oai:run.unl.pt:10362/140655
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Developing and validating high-value patient digital follow-up servicesa pilot study in cardiac surgeryCardiac Surgical ProceduresDelivery of Health CareFollow-Up StudiesHumansLearningPilot ProjectsFunding This work was supported by Fraunhofer AICOS and Vodafone Portugal and funded by the National Foundation of Science and Technology under the projects DSAIPA/AI/0094/2020 and Lisboa-05-3559-FSE-3.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.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e IndustrialRUNLondral, AAzevedo, SaloméDias, P.Ramos, C.Santos, J.Martins, F.Silva, R.Semedo, H.Vital, C.Gualdino, A.Falcão, J.Lapão, Luis VelezCoelho, P.Fragata, José G.2022-06-23T22:24:34Z2022-05-212022-05-21T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/140655eng1472-6963PURE: 44520510https://doi.org/10.1186/s12913-022-08073-4info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:17:50Zoai:run.unl.pt:10362/140655Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:49:45.189901Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Developing and validating high-value patient digital follow-up services
a pilot study in cardiac surgery
title Developing and validating high-value patient digital follow-up services
spellingShingle Developing and validating high-value patient digital follow-up services
Londral, A
Cardiac Surgical Procedures
Delivery of Health Care
Follow-Up Studies
Humans
Learning
Pilot Projects
title_short Developing and validating high-value patient digital follow-up services
title_full Developing and validating high-value patient digital follow-up services
title_fullStr Developing and validating high-value patient digital follow-up services
title_full_unstemmed Developing and validating high-value patient digital follow-up services
title_sort Developing and validating high-value patient digital follow-up services
author Londral, A
author_facet Londral, A
Azevedo, Salomé
Dias, P.
Ramos, C.
Santos, J.
Martins, F.
Silva, R.
Semedo, H.
Vital, C.
Gualdino, A.
Falcão, J.
Lapão, Luis Velez
Coelho, P.
Fragata, José G.
author_role author
author2 Azevedo, Salomé
Dias, P.
Ramos, C.
Santos, J.
Martins, F.
Silva, R.
Semedo, H.
Vital, C.
Gualdino, A.
Falcão, J.
Lapão, Luis Velez
Coelho, P.
Fragata, José G.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e Industrial
RUN
dc.contributor.author.fl_str_mv Londral, A
Azevedo, Salomé
Dias, P.
Ramos, C.
Santos, J.
Martins, F.
Silva, R.
Semedo, H.
Vital, C.
Gualdino, A.
Falcão, J.
Lapão, Luis Velez
Coelho, P.
Fragata, José G.
dc.subject.por.fl_str_mv Cardiac Surgical Procedures
Delivery of Health Care
Follow-Up Studies
Humans
Learning
Pilot Projects
topic Cardiac Surgical Procedures
Delivery of Health Care
Follow-Up Studies
Humans
Learning
Pilot Projects
description Funding This work was supported by Fraunhofer AICOS and Vodafone Portugal and funded by the National Foundation of Science and Technology under the projects DSAIPA/AI/0094/2020 and Lisboa-05-3559-FSE-3.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-23T22:24:34Z
2022-05-21
2022-05-21T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/140655
url http://hdl.handle.net/10362/140655
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1472-6963
PURE: 44520510
https://doi.org/10.1186/s12913-022-08073-4
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138095771156480

Registros relacionados