A user-centered framework for redesigning health care interfaces

Johnson, Constance; Johnson, Todd R.; Zhang, Jiajie

doi:10.1016/j.jbi.2004.11.005

Cited by 301 publications

(215 citation statements)

References 17 publications

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“…With this broad knowledge, we can bring in experts specializing in user experience, human-computer interaction, human factors, and other related disciplines who will partner with health and technology experts to create eHealth tools that improve health outcomes for persons with a range of diseases, including MCC. 6 Based on our best science, these tools will fit into people's lives and will be useful. For people with MCC, this means not only usability in the conventional sense of technology design, but also usefulness at managing multiple diseases more effectively and efficiently than with individual tools.…”

Section: T He Article By Donna Zulman and Colleagues In This Issuementioning

confidence: 99%

The Use of Technology to Enhance Health

Nilsen

2015

J GEN INTERN MED

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T he article by Donna Zulman and colleagues in this issueof the Journal of General Internal Medicine 1 provides important information in support of our understanding of the utility and value of eHealth-more broadly known as health information technology-for people with multiple chronic conditions (MCC).More than one in four Americans lives with the burden of two or more ongoing health conditions. 2 As the population ages, the number of people living with MCC is growing dramatically, 3 and their medical costs account for 75 % of health care spending in the United States. Among the Medicare older adult population, over 90 % of health care spending is devoted to people with MCC. 4 However, research shows that this heavy expenditure has not resulted in the desired improvements in the quality of life of the people with MCC. 4 In this environment, eHealth-including computers, Internet, mobile technologies and sensors-may have some potential to improve health and enhance the quality of life, while also reducing costs. eHealth technology allows for smart distillation and distribution of information in a personalized format that should support patients and providers alike, especially with the complex issues of managing multiple chronic conditions.Zulman and colleagues' work explores how a group of 53 people with MCC at either a Veterans Affairs or an academic medical center used technology. Their survey and focus groups studied the technology usage and needs of people with MCC. Not surprisingly, the group found that participants' eHealth usage and requirements targeted three specific areas: managing, coordinating, and generating information to support their health. Management of information focused on collecting and organizing schedules, exploring treatment effects and medication interactions, and collating these data for the patient, caregiver and health care team. Coordinating information stressed the need for communication between the many systems and providers involved with people with MCC. Finally, generating information described people's collection of health information from disparate sources so that they could develop specialized knowledge about their diseases and treatments, both for their own needs and to share with providers.The focus of Zulman and colleagues' article is especially important given multiple recent articles in the popular press noting that eHealth and mobile health have not been fulfilling their potential. The overriding message is that health information technology, regardless of format, has to move away from being just exciting technology for a select group of tech-savvy individuals and become a product that fits the needs of the population and merges an understanding of clinical science and consumer behavior to create useful tools. This emerging literature also emphasizes the need to conceptualize and design health information technology around the needs of actual end-users. Instead of developing tools that are based on the idea of passive patients waiting for health technology to affect thei...

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Section: T He Article By Donna Zulman and Colleagues In This Issuementioning

confidence: 99%

The Use of Technology to Enhance Health

Nilsen

2015

J GEN INTERN MED

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“…Examples are systems designed for supporting handheld prescription writing, decision support, ordering of lab tests, patient records, family history tracking etc. (Ginsburg, 2004;Johnson et al, 2004;Kushniruk et al, 1996;Kushniruk and Patel, 2004;Kushniruk et al, 2005;Linder et al, 2006;Peleg et al, 2009;Peute and Jaspers, 2007).…”

Section: Related Workmentioning

confidence: 99%

Usability Problems Experienced by Elderly Users in Home Healthcare Systems

Bruun¹

2014

JHTM

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Several research papers have presented crucial work on the needed functionality of home healthcare systems as well as on methods for evaluating the usability of such systems. There is also considerable work on usability problems experienced with systems that are targeted at medical staff. Yet, much less effort has been devoted to identification of usability problems in systems targeted at elderly patients. This paper contributes to the existing body of knowledge by presenting two empirically based usability evaluation studies of different home healthcare systems targeted at elderly users. The aim is to understand key usability problems that this type of target group experience while using such systems. Findings show that a group of elderly test subjects experience a high number of problems compared to a younger control group. In particular, the group of elderly subjects primarily experienced a high number of information related problems regarding e.g. technical information and ambiguous menu labeling. Furthermore, it was found that the group of elderly subjects was more sensitive to lack of overview of menu items. In practice, the studies presented in this paper can be applied to inform designers of home healthcare systems to be particularly aware of the type of information given in a user interface and how this is given to an elderly target group.

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“…The majority of the literature available on MD RM discusses RM from a high level perspective where some of the key concepts of RM are discussed (Wood 1999, Schmuland 2005, Elahi 1993) and the FDA's role in the regulation of MD software is examined (Rados 2003, Rudolph 2003, Kim 1993, Theisen & Neill 2004, Ciarkowski 2000, Munzer 1988 Much has been done in the area of user-centred design (Johnson et. al.…”

Section: Background and The Contribution Of This Researchmentioning

confidence: 99%