Healthcare System & Technology Design Core

摘要 医疗保健系统和技术设计核心的目标 （“设计核心”）是适应和扩展新的设计方法， 部署和评估技术支持的服务， 患有多种慢性病（MCC）的老年人及其照顾者。 我们将把数字健康领域的创新研究转化为 在各种初级保健实践中可持续地实施。 人们对技术转变医疗保健服务抱有极大的热情 交付.有人提出，技术可以提高质量， 医疗保健的成本，增加患者成功参与的能力， 治疗决策和自我护理行为，改善与 一个初级保健团队，将治疗从诊所转移到人们的家中，并部署各种设备， 帮助将服务融入人们的日常生活。不幸的是，所有的证据都表明 这种技术可以在受控条件下工作，我们已经确定了几个技术失败 发展和评估，阻碍了有意义的影响，医疗保健服务的老年人与MCC。 设计核心的目标是刺激研究的技术整合到医疗服务的老年人 患有MCC的成年人及其照顾者。我们的具体目标是： 目标1为研究人员提供设计、评估和实施技术驱动的 为患有MCC的老年人及其照顾者提供服务。 目标2创建一个原型技术支持的服务，专为老年人与MCC和症状， 焦虑或抑郁，以更有效地与他们的临床医生沟通。 目标3：制定和传播一份方法指南，其中总结了应用用户信息的最佳做法。 中心设计（UCD），以优化技术支持的服务，为老年人与MCC。 设计核心将成为设计和评估技术支持的国家专业知识中心 为患有MCC的老年人提供服务（目标1）。我们将延续CBIT在8年和70+年积累的专业知识 支持设计、开发和评估技术驱动型服务的项目。我们将设计一个 通过一个“参考”项目（目标2），制定具体的监控化学品技术设计原型。然后我们将把我们的工作 与其他国家领导人一起，制定了支持技术开发的初步指南， 适合初级保健机构和老年MCC患者的服务（目标3）。

ABSTRACT The objective of the Healthcare System & Technology Design Core (`Design Core') is to adapt and extend new methods for the design, deployment and evaluation of technology-enabled services tailored for older adults with multiple chronic conditions (MCC) and their caregivers. We will translate innovative research in digital health, building to scale for sustainable implementation in diverse primary care practices. Significant enthusiasm exists for technologies to transform healthcare service delivery. It has been proposed that technologies can improve quality and reduce the cost of healthcare, increase a patient's capacity to successfully engage in treatment decision-making and self-care behaviors, improve communication with a primary care team, moving treatment outside of clinics into peoples' homes and deploy a variety of devices to help embed services into the fabric of peoples' everyday lives. Unfortunately, for all the evidence demonstrating that such technologies can work under controlled conditions, we have identified several failures of technology development and evaluation that hinder meaningful impact on healthcare services for older adults with MCC. The Design Core's goal is to spur research on the integration of technologies into healthcare services for older adults with MCC and their caregivers. Our specific aims are to: Aim 1 Provide expertise to investigators in the design, evaluation and implementation of technology-enabled services for older adults with MCC and their caregivers. Aim 2 Create a prototype technology-enabled service, designed for older adults with MCC and symptoms of anxiety or depression, to communicate more effectively with their clinicians. Aim 3 Develop and disseminate a methodology guide that summarizes best practices for applying user- centered design (UCD) to optimize technology-enabled services for older adults with MCC. The Design Core will become a national hub of expertise in the design and evaluation of technology-enabled services for older adults with MCC (Aim 1). We will extend CBITs' expertise accumulated over 8 years and 70+ projects to support the design, development, and evaluation of technology-enabled services. We will devise an MCC-specific technology design prototype through a `reference' project (Aim 2). We will then integrate our work with other leaders nationally, producing an initial guide for supporting the development of technology enabled services appropriate for primary care settings and among older adults with MCC (Aim 3).