Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach
Objective To codesign an electronic chronic disease quality improvement tool for use in general practice.Design Service design employing codesign strategies.Setting General practice.Participants Seventeen staff (general practitioners, nurses and practice managers) from general practice in metropolit...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/12/e040228.full |
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| author | Anna Wood Ruby Biezen Jo-Anne Manski-Nankervis Julia Jones Barbara Hunter Karyn Alexander Natalie Lumsden Christine Hallinan Rita McMorrow Craig Nelson |
| author_facet | Anna Wood Ruby Biezen Jo-Anne Manski-Nankervis Julia Jones Barbara Hunter Karyn Alexander Natalie Lumsden Christine Hallinan Rita McMorrow Craig Nelson |
| author_sort | Anna Wood |
| collection | DOAJ |
| description | Objective To codesign an electronic chronic disease quality improvement tool for use in general practice.Design Service design employing codesign strategies.Setting General practice.Participants Seventeen staff (general practitioners, nurses and practice managers) from general practice in metropolitan Melbourne and regional Victoria and five patients from metropolitan Melbourne.Interventions Codesign sessions with general practice staff, using a service design approach, were conducted to explore key design criteria and functionality of the audit and feedback and clinical decision support tools. Think aloud interviews were conducted in which participants articulated their thoughts of the resulting Future Health Today (FHT) prototype as they used it. One codesign session was held with patients. Using inductive and deductive coding, content and thematic analyses explored the development of a new technological platform and factors influencing implementation of the platform.Results Participants identified that the prototype needed to work within their existing workflow to facilitate automated patient recall and track patients with or at-risk of specific conditions. It needed to be simple, provide visual snapshots of information and easy access to relevant guidelines and facilitate quality improvement activities. Successful implementation may be supported by: accuracy of the algorithms in FHT and data held in the practice; the platform supporting planned and spontaneous interactions with patients; the ability to hide tools; links to Medicare Benefits Schedule; and prefilled management plans. Participating patients supported the use of the platform in general practice. They suggested that use of the platform demonstrates a high level of patient care and could increase patient confidence in health practitioners.Conclusion Study participants worked together to design a platform that is clear, simple, accurate and useful and that sits within any given general practice setting. The resulting FHT platform is currently being piloted in general practices and will continue to be refined based on user feedback. |
| format | Article |
| id | doaj-art-ab7dc37b26724d40bf75ec4a9a24bcc1 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ab7dc37b26724d40bf75ec4a9a24bcc12024-11-22T10:40:10ZengBMJ Publishing GroupBMJ Open2044-60552020-12-01101210.1136/bmjopen-2020-040228Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approachAnna Wood0Ruby Biezen1Jo-Anne Manski-Nankervis2Julia Jones3Barbara Hunter4Karyn Alexander5Natalie Lumsden6Christine Hallinan7Rita McMorrow8Craig Nelson9Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia1 Department of General Practice, The University of Melbourne, Carlton, Victoria, Australia2 NHMRC CRE in Digital Technology to Transform Chronic Disease Outcomes, The Baker Heart and Diabetes Institute, Melbourne, Victoria, AustraliaWestern Health Chronic Disease Alliance, Sunshine Hospital, Western Health, Footscray, Victoria, Australia1 Department of General Practice and Primary Care, The University of Melbourne, Melbourne, Victoria, AustraliaDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, AustraliaDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, AustraliaDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia1 Department of General Practice and Primary Care, The University of Melbourne, Melbourne, Victoria, AustraliaWestern Health Chronic Disease Alliance, Sunshine Hospital, Western Health, Footscray, Victoria, AustraliaObjective To codesign an electronic chronic disease quality improvement tool for use in general practice.Design Service design employing codesign strategies.Setting General practice.Participants Seventeen staff (general practitioners, nurses and practice managers) from general practice in metropolitan Melbourne and regional Victoria and five patients from metropolitan Melbourne.Interventions Codesign sessions with general practice staff, using a service design approach, were conducted to explore key design criteria and functionality of the audit and feedback and clinical decision support tools. Think aloud interviews were conducted in which participants articulated their thoughts of the resulting Future Health Today (FHT) prototype as they used it. One codesign session was held with patients. Using inductive and deductive coding, content and thematic analyses explored the development of a new technological platform and factors influencing implementation of the platform.Results Participants identified that the prototype needed to work within their existing workflow to facilitate automated patient recall and track patients with or at-risk of specific conditions. It needed to be simple, provide visual snapshots of information and easy access to relevant guidelines and facilitate quality improvement activities. Successful implementation may be supported by: accuracy of the algorithms in FHT and data held in the practice; the platform supporting planned and spontaneous interactions with patients; the ability to hide tools; links to Medicare Benefits Schedule; and prefilled management plans. Participating patients supported the use of the platform in general practice. They suggested that use of the platform demonstrates a high level of patient care and could increase patient confidence in health practitioners.Conclusion Study participants worked together to design a platform that is clear, simple, accurate and useful and that sits within any given general practice setting. The resulting FHT platform is currently being piloted in general practices and will continue to be refined based on user feedback.https://bmjopen.bmj.com/content/10/12/e040228.full |
| spellingShingle | Anna Wood Ruby Biezen Jo-Anne Manski-Nankervis Julia Jones Barbara Hunter Karyn Alexander Natalie Lumsden Christine Hallinan Rita McMorrow Craig Nelson Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach BMJ Open |
| title | Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach |
| title_full | Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach |
| title_fullStr | Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach |
| title_full_unstemmed | Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach |
| title_short | Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach |
| title_sort | future health today codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach |
| url | https://bmjopen.bmj.com/content/10/12/e040228.full |
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