Developing and Validating High-Value Patient Digital Follow-Up Services: a Pilot Study in Cardiac Surgery
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/4312 |
Resumo: | 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. |
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Developing and Validating High-Value Patient Digital Follow-Up Services: a Pilot Study in Cardiac SurgeryHSM CCTHumansCardiac Surgical Procedures*Delivery of Health Care*LearningFollow-Up StudiesPilot ProjectsBackground: 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.BMCRepositório do Centro Hospitalar Universitário de Lisboa Central, EPELondral, AAzevedo, SDias, PRamos, CSantos, JMartins, FSilva, RSemedo, HVital, CGualdino, AFalcão, JLapão, LVCoelho, PFragata, J2022-12-21T15:57:02Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/4312engBMC Health Serv Res . 2022 May 21;22(1):680.10.1186/s12913-022-08073-4.info: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:RCAAP2023-03-10T09:46:11Zoai:repositorio.chlc.min-saude.pt:10400.17/4312Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:21:38.397922Repositório 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: a Pilot Study in Cardiac Surgery |
spellingShingle |
Developing and Validating High-Value Patient Digital Follow-Up Services: a Pilot Study in Cardiac Surgery Londral, A HSM CCT Humans Cardiac Surgical Procedures* Delivery of Health Care* Learning Follow-Up Studies Pilot Projects |
title_short |
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_sort |
Developing and Validating High-Value Patient Digital Follow-Up Services: a Pilot Study in Cardiac Surgery |
author |
Londral, A |
author_facet |
Londral, A Azevedo, S Dias, P Ramos, C Santos, J Martins, F Silva, R Semedo, H Vital, C Gualdino, A Falcão, J Lapão, LV Coelho, P Fragata, J |
author_role |
author |
author2 |
Azevedo, S Dias, P Ramos, C Santos, J Martins, F Silva, R Semedo, H Vital, C Gualdino, A Falcão, J Lapão, LV Coelho, P Fragata, J |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Londral, A Azevedo, S Dias, P Ramos, C Santos, J Martins, F Silva, R Semedo, H Vital, C Gualdino, A Falcão, J Lapão, LV Coelho, P Fragata, J |
dc.subject.por.fl_str_mv |
HSM CCT Humans Cardiac Surgical Procedures* Delivery of Health Care* Learning Follow-Up Studies Pilot Projects |
topic |
HSM CCT Humans Cardiac Surgical Procedures* Delivery of Health Care* Learning Follow-Up Studies Pilot Projects |
description |
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. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-21T15:57:02Z 2022 2022-01-01T00:00:00Z |
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/10400.17/4312 |
url |
http://hdl.handle.net/10400.17/4312 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Health Serv Res . 2022 May 21;22(1):680. 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.publisher.none.fl_str_mv |
BMC |
publisher.none.fl_str_mv |
BMC |
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 |
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