scholarly journals Applying Human-Centered Design Principles to Digital Syndromic Surveillance at a Mass Gathering in India: Viewpoint

10.2196/27952 ◽  
2022 ◽  
Vol 24 (1) ◽  
pp. e27952
Author(s):  
Ahmed Shaikh ◽  
Abhishek Bhatia ◽  
Ghanshyam Yadav ◽  
Shashwat Hora ◽  
Chung Won ◽  
...  

In the wake of the COVID-19 pandemic, digital health tools have been deployed by governments around the world to advance clinical and population health objectives. Few interventions have been successful or have achieved sustainability or scale. In India, government agencies are proposing sweeping changes to India’s digital health architecture. Underpinning these initiatives is the assumption that mobile health solutions will find near universal acceptance and uptake, though the observed reticence of clinicians to use electronic health records suggests otherwise. In this practice article, we describe our experience with implementing a digital surveillance tool at a large mass gathering, attended by nearly 30 million people. Deployed with limited resources and in a dynamic chaotic setting, the adherence to human-centered design principles resulted in near universal adoption and high end-user satisfaction. Through this use case, we share generalizable lessons in the importance of contextual relevance, stakeholder participation, customizability, and rapid iteration, while designing digital health tools for individuals or populations.

2021 ◽  
Author(s):  
Ahmed Shaikh ◽  
Abhishek Bhatia ◽  
Ghanshyam Yadav ◽  
Shashwat Hora ◽  
Chung Won ◽  
...  

UNSTRUCTURED In the wake of the COVID-19 pandemic, digital health tools have been deployed by governments around the world to advance clinical and population health objectives. Few interventions have been successful or have achieved sustainability or scale. In India, government agencies are proposing sweeping changes to India’s digital health architecture. Underpinning these initiatives is the assumption that mobile health solutions will find near universal acceptance and uptake, though the observed reticence of clinicians to use electronic health records suggests otherwise. In this practice article, we describe our experience with implementing a digital surveillance tool at a large mass gathering, attended by nearly 30 million people. Deployed with limited resources and in a dynamic chaotic setting, the adherence to human-centered design principles resulted in near universal adoption and high end-user satisfaction. Through this use case, we share generalizable lessons in the importance of contextual relevance, stakeholder participation, customizability, and rapid iteration, while designing digital health tools for individuals or populations.


2004 ◽  
Author(s):  
Kimberly P. Whittam ◽  
Zannette A. Uriell ◽  
Rorie N. Harris
Keyword(s):  

2021 ◽  
Vol 51 (2) ◽  
pp. 206-214
Author(s):  
Nicole J. Bate ◽  
Simon C. Xu ◽  
Maurizio Pacilli ◽  
Lynden J. Roberts ◽  
Chris Kimber ◽  
...  
Keyword(s):  

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 142-152
Author(s):  
Justin M Curley ◽  
Katie L Nugent ◽  
Kristina M Clarke-Walper ◽  
Elizabeth A Penix ◽  
James B Macdonald ◽  
...  

ABSTRACT Introduction Recent reports have demonstrated behavioral health (BH) system and individual provider challenges to BH readiness success. These pose a risk to winning on the battlefield and present a significant safety issue for the Army. One of the most promising areas for achieving better BH readiness results lies in improving readiness decision-making support for BH providers. The Walter Reed Army Institute of Research (WRAIR) has taken the lead in addressing this challenge by developing and empirically testing such tools. The results of the Behavioral Health Readiness Evaluation and Decision-Making Instrument (B-REDI) field study are herein described. Methods The B-REDI study received WRAIR Institutional Review Board approval, and BH providers across five U.S. Army Forces Command installations completed surveys from September 2018 to March 2019. The B-REDI tools/training were disseminated to 307 providers through random clinic assignments. Of these, 250 (81%) providers consented to participate and 149 (60%) completed both initial and 3-month follow-up surveys. Survey items included a wide range of satisfaction, utilization, and proficiency-level outcome measures. Analyses included examinations of descriptive statistics, McNemar’s tests pre-/post-B-REDI exposure, Z-tests with subgroup populations, and chi-square tests with demographic comparisons. Results The B-REDI resulted in broad, statistically significant improvements across the measured range of provider proficiency-level outcomes. Net gains in each domain ranged from 16.5% to 22.9% for knowledge/awareness (P = .000), from 11.1% to 15.8% for personal confidence (P = .001-.000), and from 6.2% to 15.1% for decision-making/documentation (P = .035-.002) 3 months following B-REDI initiation, and only one (knowledge) failed to maintain a statistically significant improvement in all of its subcategories. The B-REDI also received high favorability ratings (79%-97% positive) across a wide array of end-user satisfaction measures. Conclusions The B-REDI directly addresses several critical Army BH readiness challenges by providing tangible decision-making support solutions for BH providers. Providers reported high degrees of end-user B-REDI satisfaction and significant improvements in all measured provider proficiency-level domains. By effectively addressing the readiness decision-making challenges Army BH providers encounter, B-REDI provides the Army BH health care system with a successful blueprint to set the conditions necessary for providers to make more accurate and timely readiness determinations. This may ultimately reduce safety and mission failure risks enterprise-wide, and policymakers should consider formalizing and integrating the B-REDI model into current Army BH practice.


Author(s):  
Pasquale G. Frisina ◽  
Esther N. Munene ◽  
Janet Finnie ◽  
Judith E. Oakley ◽  
Gayathri Ganesan

Author(s):  
Catherine Dulude ◽  
Chantal Trudel ◽  
W. James King ◽  
Karen Macaulay ◽  
Jennifer Gillert ◽  
...  

Many factors contribute to the successful implementation and adoption of electronic medical records (EMRs). Easy access to the EMR, where and when required by clinicians, is a key component of adoption and end-user satisfaction with the system. A pediatric hospital implementing an integrated EMR used multiple methods within an iterative human-centered design (HCD) framework to develop hardware and access solutions supporting future EMR workflows in Inpatient and Emergency Departments. Context of use analysis, participatory design methods, preliminary analysis of evaluative simulations and tacit knowledge of the project team led to the development of guiding principles for hardware implementation and solutions supporting just-in-time documentation within the constraints of existing facility design.


2019 ◽  
Vol 5 (2) ◽  
pp. 105
Author(s):  
Anisa Yulandari ◽  
Wing Wahyu Winarno ◽  
Asro Nasiri

Website Portal Alumni Amikom Yogyakarta yang dapat diakses pada alamat domain alumni.amikom.ac.id merupakan bagian dari Universitas Amikom Yogyakarta yang berfungsi sebagai sarana berbagi informasi sekaligus bertindak sebagai penghubung antara perusahaan pencari tenaga kerja dan para pencari kerja khususnya alumni Universitas Amikom Yogyakarta. Selama ini website alumni sudah berjalan belum dilakukan evaluasi terhadap kualitas layanan website yang didasarkan pada persepsi pengguna akhir sebagai umpan balik kepada pengelola website sehingga pengelola dapat mengetahui sejauh mana kepuasan pengguna dan kualitas layanan yang sudah diberikan. Tujuan dari penelitian ini yaitu untuk mengetahui kualitas layanan website alumni menggunakan tiga dimensi yang ada pada metode Webqual 4.0. Tiga dimensi itu sendiri terdiri dari Kegunaan, Kualitas Informasi, dan Kualitas Interaksi Layanan. Pendistribusian kuisioner dilakukan terhadap 200 sampel responden. Kesimpulan dari penelitian ini adalah adanya pengaruh ketiga dimensi Webqual 4.0 terhadap kepuasan pengguna. Dimensi yang paling berpengaruh yaitu Kualitas Informasi dan Kualitas Interaksi Layanan. Hal ini berarti peningkatan dapat dilakukan pada indicator yang memiliki nilai rata-rata terendah. Peningkatan pada dimensi Kualitas Informasi dapat dilakukan perbaruan secara berkala sehingga informasi yang disajikan menjadi lebih relevan. Sedangkan untuk dimensi Kualitas Interaksi Layanan dapat dilakukan dengan meningkatkan pelayanan terhadap keluhan seputar website alumni.Kata Kunci — Kualitas Layanan, Website Alumni, Webqual 4.0The Alumni Amikom Yogyakarta Website which can be accessed at the domain address alumni.amikom.ac.id is part of the Amikom University of Yogyakarta which serves as a means of sharing information while acting as a liaison between the company and job seekers, especially alumni of Yogyakarta Amikom University. So far, the alumni website has been running, yet an evaluation of the quality of website services has been carried out based on the perception of the end user as feedback to the website manager so that the manager can find out how far the user satisfaction is and the quality of the service provided. The purpose of this study is to determine the quality of the alumni website service using three dimensions that exist in the method of Webqual 4.0, there are Usability, Information Quality, and Service Interaction Quality. The conclusion of this study is the influence of the three dimensions of Webqual 4.0 on user satisfaction. The most influential dimensions are Information Quality and Service Interaction Quality. This means that an increase can be made on an indicator that has the lowest average valueKeywords— Quality of Service, Alumni Website, Webqual 4.0


Author(s):  
Andreas Bayu Darmawan ◽  
Rino Ardhian Nugroho

Electronic Government (e-Government) has been implemented in Indonesia at both the central and regional levels, where Information and Communication Technology (ICT) is integrated with public services in order to increase effectiveness, efficiency, and transparency. Surakarta has succeeded in creating an application that operates online which can be used to access population administration services, namely Dukcapil application (Dukcapil dalam genggaman in Indonesian term). This application is designed to make it easier for some people of Surakarta who are still experiencing problems if they have to directly access population administration services, whether constrained in terms of time, energy, and cost. As part of population administration services and population information systems, user satisfaction is important for Dukcapil Dalam Genggaman because it is related to the quality of the services provided and the success of implementing the application. User satisfaction can be influenced by several factors. Therefore, this study will examine the factors that influence user satisfaction of Dukcapil Dalam Genggaman. These factors were adapted from a model for measuring the level of user satisfaction with information systems, namely End User Computing Satisfaction (EUCS), which measures satisfaction based on content, accuracy, format, ease of use, and timeliness. This study aims to determine the effect of these factors on user satisfaction of Dukcapil Dalam Genggaman. The questionnaire was distributed to users of Dukcapil Dalam Genggaman and successfully obtained a sample of 107 users. The data analysis used is multiple linear regression. It was found that content, accuracy, ease of use, and timeliness have a significant effect on user satisfaction of Dukcapil Dalam Genggaman. Meanwhile, the format does not have a effect on user satisfaction of Dukcapil Dalam Genggaman. Based on these findings, the Department of Population and Civil Registration of Surakarta is recommended to develop Dukcapil Dalam Genggaman by focusing on the factors that affect user satisfaction of the application.


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