Digitally Enabled Health Service for the Integrated Management of Hypertension: A Participatory User-Centred Design Process
2021
Vincenzo De Luca | Vanja Lazic | Strahil Birov | Klaus Piesche | Ozan Beyhan | Martino Francesco Pengo | Marcello Melgara | Marie Holm Sherman | Mikael Lilja | Antonija Balenovic | Gianfranco Parati | Maria Triassi | Raffaele Izzo | Guido Iaccarino | Maddalena Illario
This article describes a user-centred approach taken by a group of five procurers to set specifications for the procurement of value-based research and development services for IT-supported integrated hypertension management. The approach considered the unmet needs of patients and health systems of the involved regions. The procurers established a framework for requirements and a solution design consisting of nine building blocks, divided into three domains: service delivery, devices and integration, and health care organisation. The approach included the development of questionnaires, capturing patients&rsquo: and professionals&rsquo: views on possible system functionalities, and a template collecting information about the organisation of healthcare, professionals involved and existing IT systems at the procurers&rsquo: premises. A total of 28 patients diagnosed with hypertension and 26 professionals were interviewed. The interviewees identified 98 functional requirements, grouped in the nine building blocks. A total of nine use cases and their corresponding process models were defined by the procurers&rsquo: working group. As result, a digitally enabled integrated approach to hypertension has been designed to allow citizens to learn how to prevent the development of hypertension and lead a healthy lifestyle, and to receive comprehensive, individualised treatment in close collaboration with healthcare professionals.
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