Digitally Enabled Health Service for the Integrated Management of Hypertension: A Participatory User-Centred Design Process

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 and Maddalena Illario
Additional contact information
Vincenzo De Luca: Dipartimento di Sanità Pubblica, Università Degli Studi di Napoli Federico II, Via S. Pansini 5, 80131 Naples, Italy
Vanja Lazic: Dom Zdravlja Zagreb–Centar, Runjaninova ul. 4, 10000 Zagreb, Croatia
Strahil Birov: Empirica Gesellschaft für Kommunikations-und Technologieforschung mbH, Oxfordstr. 2, 53111 Bonn, Germany
Klaus Piesche: Empirica Gesellschaft für Kommunikations-und Technologieforschung mbH, Oxfordstr. 2, 53111 Bonn, Germany
Ozan Beyhan: Ministry of Health of Turkey, Üniversiteler Mah. 6001. Cad. No. 9, Ankara 06800, Turkey
Martino Francesco Pengo: Department of Cardiovascular, Neural and Metabolic Sciences, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Istituto Auxologico Italiano, Via Ariosto 13, 20145 Milan, Italy
Marcello Melgara: Azienda Regionale per l’Innovazione e Gli Acquisti S.p.A., Direzione Generale Sanità, Regione Lombardia, Piazza Città di Lombardia 1, 20124 Milan, Italy
Marie Holm Sherman: Research and Development Department, Region Jämtland Härjedalen, Kyrkgatan 12, 83127 Östersund, Sweden
Mikael Lilja: Unit of Research, Education and Development, Department of Public Health and Clinical Medicine, Östersund Hospital, Umeå University, University Hospital Building 1A, 4 St., 90187 Umeå, Sweden
Antonija Balenovic: Dom Zdravlja Zagreb–Centar, Runjaninova ul. 4, 10000 Zagreb, Croatia
Gianfranco Parati: Department of Cardiovascular, Neural and Metabolic Sciences, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Istituto Auxologico Italiano, Via Ariosto 13, 20145 Milan, Italy
Maria Triassi: Dipartimento di Sanità Pubblica, Università Degli Studi di Napoli Federico II, Via S. Pansini 5, 80131 Naples, Italy
Raffaele Izzo: Azienda Ospedaliera Universitaria Federico II, Via S. Pansini 5, 80131 Naples, Italy
Guido Iaccarino: Azienda Ospedaliera Universitaria Federico II, Via S. Pansini 5, 80131 Naples, Italy
Maddalena Illario: Dipartimento di Sanità Pubblica, Università Degli Studi di Napoli Federico II, Via S. Pansini 5, 80131 Naples, Italy

IJERPH, 2021, vol. 18, issue 23, 1-22

Abstract: 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’ and professionals’ views on possible system functionalities, and a template collecting information about the organisation of healthcare, professionals involved and existing IT systems at the procurers’ 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’ 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.

Keywords: user-centred design; digital health; hypertension; mHealth; integrated care; chronic care model; active and healthy aging; self-monitoring; health innovation; innovative procurement (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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