Beyond “implementation”: digital health innovation and service design

npj Digital Medicine

James Shaw¹  Trevor Jamieson¹  Onil Bhattacharyya¹  Daniel Cornejo Palma¹  R. Sacha Bhatia²  Laura Desveaux²  Vess Stamenova³  Rebecca Yang³  Payal Agarwal³ 

[1]Institute for Health System Solutions and Virtual Care, Women’

[2]Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada

[3]s College Hospital, Toronto, Canada

DOI  :  10.1038/s41746-018-0059-8

学科分类：医学（综合）

来源: Nature Publishing Group

【 摘 要 】

Digital tools have shown great potential to enhance health services’ capacity to achieve the goals of the triple aim (enhance patient experience, improve health outcomes, and control or reduce costs), but their actual impact remains variable. In this commentary, we suggest that shifting from a perspective focused on “implementing” new digital tools in health care settings toward one focused on “service design” will help teams execute more successful digital technology adoption projects. We present value proposition design (VPD) as a service design strategy requiring that stakeholders are brutally honest in determining the value of a new digital tool for their everyday work. Incorporating a perspective focused on how the value proposition of a technology is understood by each team member, and implications for their work routines, will help project teams to better understand how services can be reinvented during technology adoption initiatives. We present the simple heuristic [Tool+Team+Routine] as a reminder of the central considerations that make up a service design initiative, and present an illustrative case scenario of designing the use of a digital care coordination platform in an actual digital technology adoption project. We conclude by outlining two important challenges that need to be addressed to advance service design approaches to technology adoption in health care.

【 授权许可】

CC BY