Promoting Use of Patient-Centered Health IT: Assessment and Ranking of Incentive Mechanisms

Abstract

The health care domain is undergoing a sweeping shift from a model of paternalism towards increased patient-centered care. Vendors offering patient-centered health IT use incentive mechanisms to motivate the continued use of health IT. However, incentive mechanisms may not always be beneficial to patientcentered care and may lack focus on actual treatment processes. Therefore, we focus on the research question: What incentive mechanisms are or are not useful for promoting use of patient-centered health IT and why? We assess and rank 28 incentive mechanisms by utility for patient-centered health IT. Findings reveal that reminders and interface improvements are most beneficial and that social comparison and social facilitation mechanisms are most detrimental to patientcentered care. This work extends the scientific knowledge base on patient-centered health IT, establishes a foundation for future research on patient-centered incentive mechanisms, and provides practical audiences with insights on how to effectively design patient-centered health IT.

User-Driven Development for UK M-Health Patient Management System

“…The salience of patient centred healthcare in m-health is being recognised lately in the research domain, for it is becoming increasingly clear that failing to embrace it could well result in systems that lack focus on actual treatment process/care/services. Hence, there is a need to promote and adopt a patient/user centred approach when designing m-health systems [23]. A study focusing on identifying the interface design aspects in m-health has recommended 20 user interface design aspects under four major themes, including privacy and security; credibility; user journey support; and the task-technology-context fit, for better adoption of mhealth systems [24].…”