Examining the Fit between e-Health Service Design Features and Patient Segments

Author(s):  
Hsin-Lu Chang ◽  
Ya-Lin Tsai
Author(s):  
Rachel Marie Tindall ◽  
Melissa Ferris ◽  
Meredith Townsend ◽  
Gayle Boschert ◽  
Steven Moylan

2021 ◽  
Vol 7 ◽  
pp. 205520762199687
Author(s):  
Louisa Walsh ◽  
Nerida Hyett ◽  
Nicole Juniper ◽  
Chi Li ◽  
Sophie Rodier ◽  
...  

Background Health-related social media use is common but few health organisations have embraced its potential for engaging stakeholders in service design and quality improvement (QI). Social media may provide new ways to engage more diverse stakeholders and conduct health design and QI activities. Objective To map how social media is used by health services, providers and consumers to contribute to service design or QI activities. Methods The scoping review was undertaken using the Joanna Briggs Institute methodology. An advisory committee of stakeholders provided guidance throughout the review. Inclusion criteria were studies of any health service stakeholders, in any health setting, where social media was used as a tool for communications which influenced or advocated for changes to health service design or delivery. A descriptive numerical summary of the communication models, user populations and QI activities was created from the included studies, and the findings were further synthesised using deductive qualitative content analysis. Results 40 studies were included. User populations included organisations, clinical and non-clinical providers, young people, people with chronic illness/disability and First Nations people. Twitter was the most common platform for design and QI activities. Most activities were conducted using two-way communication models. A typology of social media use is presented, identifying nine major models of use. Conclusion This review identifies the ways in which social media is being used as a tool to engage stakeholders in health service design and QI, with different models of use appropriate for different activities, user populations and stages of the QI cycle.


2020 ◽  
Vol 10 (3) ◽  
pp. 598-605
Author(s):  
Andrea K Graham ◽  
Carolyn J Greene ◽  
Thomas Powell ◽  
Pauli Lieponis ◽  
Amanda Lunsford ◽  
...  

Abstract Implementing a digital mental health service in primary care requires integration into clinic workflow. However, without adequate attention to service design, including designing referral pathways to identify and engage patients, implementation will fail. This article reports results from our efforts designing referral pathways for a randomized clinical trial evaluating a digital service for depression and anxiety delivered through primary care clinics. We utilized three referral pathways: direct to consumer (e.g., digital and print media, registry emails), provider referral (i.e., electronic health record [EHR] order and provider recommendation), and other approaches (e.g., presentations, word of mouth). Over the 5-month enrollment, 313 individuals completed the screen and reported how they learned about the study. Penetration was 13%, and direct to consumer techniques, most commonly email, had the highest yield. Providers only referred 16 patients through the EHR, half of whom initiated the screen. There were no differences in referral pathway based on participants’ age, depression severity, or anxiety severity at screening. Ongoing discussions with providers revealed that the technologic implementation and workflow design may not have been optimal to fully affect the EHR-based referral process, which potentially limited patient access. Results highlight the importance of designing and evaluating referral pathways within service implementation, which is important for guiding the implementation of digital services into practice. Doing so can ensure that sustained implementation is not left to post-evaluation bridge-building. Future efforts should assess these and other referral pathways implemented in clinical practice outside of a research trial.


2018 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Yasir Sani ◽  
Ismiartha Aknuranda ◽  
Herman Tolle

The concept of Primary Health Service Management Model “Andal” (LKP Andal) in Indonesia was initiated by the Public Health Association of Brawijaya University (IKEMAS UB) to solve the health service management problem in Indonesia. LKP Andal was piloted into a first-level organization that provide the health service/facility in PG Kebonagung polyclinic in Malang district.This research uses a service design approach to explore the problems and this study also provide a service solution to the LKP Andal implementation in IT perspective that suits to the organization characteristics as an entirely service delivery process support. As the result, this study has explored 23 main problems of the entirely service delivery process and also resulted 4 service solution ideas which were visualized using Service Journey Modelling Language (SJML) to acquire more detailed images and they can become the standard communication among stakeholders.


2011 ◽  
Vol 93 (9) ◽  
pp. 311-312
Author(s):  
Simon Poole

Clinical leadership in commissioning is of course not a new idea and some might assert that the proposal to form clinical commissioning groups (CCGs) is an inevitable evolution and an opportunity for achieving better patient outcomes. A number of professional bodies, including the BMA and royal colleges, support greater involvement of clinicians in management decisions, and last month saw the publication of further evidence demonstrating the advantages of involving clinical managers in health service design.


2018 ◽  
Vol 17 (2) ◽  
pp. 146-160 ◽  
Author(s):  
Bridianne O'Dea ◽  
Charlotte Leach ◽  
Melinda Achilles ◽  
Catherine King ◽  
Mirjana Subotic-Kerry ◽  
...  

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