User-centred design for developing e-Health system for renal patients at home (AppNephro)
User-centred design for developing e-Health system for renal patients at home (AppNephro)
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DOI：
10.1016/j.ijmedinf.2019.02.007
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发表时间：
2019-05-01
影响因子：
4.9
通讯作者：
Roman-Martinez, Isabel
中科院分区：
文献类型：
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作者：
Calvillo-Arbizu, Jorge;Roa-Romero, Laura M.;Roman-Martinez, Isabel
背景资料：尽管电子健康方法（包括随时随地向任何人提供基于技术的医疗保健服务）的好处很有希望，但在日常实践中采用的解决方案很少。用户接受度是阻碍技术方法取得成功的主要障碍之一。最终用户经常强调他们的问题与技术系统旨在解决的解决方案之间的不一致。在其他情况下，所开发的系统对临床医生的日常实践或患者的生活不友好或不适应。为了最大限度地获得用户的接受，采用以用户为中心的设计和开发技术的相关性是众所周知的。然而，用户往往被认为是一个同质的组具有相同的一套要求，这导致了一个无效的识别和用户需求的地址。此外，必须仔细解决可用性和可访问性问题，以保证解决方案与用户需求保持正确的一致性。目标：通过采用以用户为中心的设计实践、可用性和可访问性标准，为肾病患者开发一个家庭电子医疗系统。材料和方法：将用户分为四个不同的组（即，数字患者/护理人员、非数字患者/护理人员、临床医生和护士），并且设计和开发团队中包含了一个样本。问卷和访谈被用来确定用户的需求和评估prototyps.Results：要求被认为是每一种用户，什么导致了多方面的电子健康系统意味着不同的技术和功能，关于每个目标用户。查明各类用户并使其持续参与，使他们的需要能够得到适当的理解，并通过技术加以解决，提高用户对最终产品的接受度。
Background: Despite the promising benefits of the e-Health approaches (including provide technology-based healthcare services to anyone, anytime, and anywhere), few solutions are adopted in daily practice. User acceptance is one of the major obstacles that hinder the success of technology approaches. End-users often stress misalignments among their problems and the solutions that technology systems aim to solve. In other cases, systems developed are unfriendly or unadjusted to the daily practice of clinicians or patient's life. To maximize user acceptance, the relevance of adopting user-centred design and development techniques is well-known. However, users are often assumed to be a homogeneous group with the same set of requirements, what leads to an ineffective identification and addressment of user requirements. Furthermore, usability and accessibility issues must be carefully addressed to guarantee also the right alignment of solutions with user needs.Objective: to develop an e-Health system for renal patients at home by adopting user-centred design practices, usability and accessibility standards.Material and methods: users were categorized in four different groups (i.e., digital patients/caregivers, non-digital patients/caregivers, clinicians and nurses) and a sample was included in the design and development team. Questionnaires and interviews were used to identify user requirements and assess prototypes.Results: Requirements were considered for every kind of user, what resulted on a multi-faceted e-Health system implying different technologies and functionalities regarding to each target user.Conclusion: Identification and continuous involvement of all kind of users allow their needs to be properly understood and addressed by technology, raising user acceptance of the final product.