Developing and validating high-value patient digital follow-up services: a pilot study in cardiac surgery.
BMC Health Serv Res
; 22(1): 680, 2022 May 21.
Article
in English
| MEDLINE | ID: covidwho-1849729
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Delivery of Health Care
/
Cardiac Surgical Procedures
Type of study:
Cohort study
/
Experimental Studies
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
BMC Health Serv Res
Journal subject:
Health Services Research
Year:
2022
Document Type:
Article
Affiliation country:
S12913-022-08073-4
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