A Framework for the Human-Centered Design of Service Processes Enabled by Medical Devices: A Case Study of Wearable Devices for Parkinson's Disease.

Sara Vannelli, Filippo Visintin, Clio Dosi, Laura Fiorini, Erika Rovini, Filippo Cavallo
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Abstract

The successful introduction of medical devices (MDs) in real-world settings hinges on designing service processes that cater to stakeholders' needs. While human-centered design (HCD) approaches have been widely applied to service process innovation, the literature lacks a methodology that leverages MDs' key features to design service processes that meet stakeholders' needs. This study aims to fill this gap by developing a framework for the HCD of service processes enabled by MDs. The proposed framework mixes and adapts methodological elements from HCD and technology-enabled design approaches and proposes four new tools. The five-phase framework was applied to the design of a new Parkinson's disease diagnosis and treatment process (PD-DTP) enabled by two wearable MDs for the detection of motor symptoms. The case study lasted five months and involved 42 stakeholders in 21 meetings (interviews, focus groups, etc.). Thanks to the case study, the framework was tested, and a new PD-DTP that could benefit all stakeholders involved was identified. This study provides a framework that, in addition to contributing to theory, could assist MDs developers and healthcare managers in designing service processes that cater to stakeholders' needs by leveraging MDs' key features.

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以人为本的医疗设备服务流程设计框架:帕金森病可穿戴设备案例研究》。
医疗设备(MD)能否在现实世界中成功引入,取决于能否设计出满足利益相关者需求的服务流程。虽然以人为本的设计(HCD)方法已被广泛应用于服务流程创新,但文献中还缺乏一种方法来利用医疗设备的关键特性来设计满足利益相关者需求的服务流程。本研究旨在通过开发一个由 MD 支持的服务流程人本设计框架来填补这一空白。所提出的框架混合并改编了人类发展和技术辅助设计方法中的方法论元素,并提出了四种新工具。该五阶段框架被应用于设计一个新的帕金森病诊断和治疗流程(PD-DTP),该流程由两个可穿戴 MDs 实现,用于检测运动症状。案例研究持续了五个月,42 个利益相关者参加了 21 次会议(访谈、焦点小组等)。通过该案例研究,对框架进行了测试,并确定了一种可使所有利益相关者受益的新型 PD-DTP。这项研究提供了一个框架,除了对理论有所贡献外,还可以帮助 MDs 开发人员和医疗保健管理人员利用 MDs 的主要特点设计满足利益相关者需求的服务流程。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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