Why Business Modeling is Crucial in the Development of eHealth Technologies

Limburg, Maarten van; Gemert-Pijnen, Julia E.W.C. van; Nijland, Nicol; Ossebaard, Hans Cornelis; Hendrix, Ron; Seydel, E.R.

doi:10.2196/jmir.1674

Cited by 148 publications

(130 citation statements)

References 31 publications

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“…New tools need to fit the existing care practices or, at their best, spur the creation of innovative care processes [30]. Taking technological tools into use in collaborative care requires that nurses see their potential and are able to integrate them into their daily work.…”

Section: Introductionmentioning

confidence: 99%

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Kaipainen¹,

Välkkynen²,

Kilkku

2016

Behav. Med. Pract. Policy Res.

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Due to the high burden of depression, new models and methods of mental healthcare need to be developed. Prior research has shown the potential benefits of using technology tools such as mobile apps as self-help or combined with psychological treatment. Therefore, professionals should acquaint themselves with evidence-based apps to be able to use them with clients and guide the clients in their use. The purpose of this study was to explore how an acceptance and commitment therapy-based mobile app was perceived as a self-management tool among nurses, and how it could be applied in the prevention and treatment of depression and other mental health issues. Sixteen Finnish nurses undergoing depression nurse specialist education used the app for 5 weeks and participated in semistructured focus group interviews. Interviews were analyzed by qualitative content analysis. In general, the nurses found the app suitable as a self-management tool and identified three models of using it in clinical practice. Having used the app personally, the nurses were eager to take it into use with various client groups, especially in occupational health but also in the treatment of mental health problems. However, they also raised concerns about the effort needed in familiarizing oneself with the content and pointed out specific client groups for whom the benefits of the app should be carefully weighed against the potential risks. Despite the small sample size, the findings suggest that involving technology tools as part of the nurses' education could ease their adoption in clinical practice. The degree of professional support in the app use should be aligned to the severity of the mental health problems.

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Section: Introductionmentioning

confidence: 99%

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Kaipainen¹,

Välkkynen²,

Kilkku

2016

Behav. Med. Pract. Policy Res.

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“…Current frameworks for collaborative health development still suffer from a lack of support of spatio-temporal features, restrictions on scalability, and show uncertainties regarding data sharing and interoperability [88]. These issues can be addressed by defining a better collaboration strategy early in the development of health infrastructures, services, and technologies.…”

Section: Resultsmentioning

confidence: 99%

Geospatial information infrastructures to address spatial needs in health: Collaboration, challenges and opportunities

Granell

Fernández

Díaz

2014

Future Generation Computer Systems

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Abstract:Most health-related issues such as public health outbreaks and epidemiological threats are better understood from a spatial-temporal perspective and, clearly demand related geospatial data sets and services so that decision makers may jointly make informed decisions and coordinate response plans. Although current health applications support a kind of geospatial features, these are still disconnected from the wide range of geospatial services and datasets that geospatial information infrastructures may bring into health. In this paper we are questioning the hypothesis whether geospatial information infrastructures, in terms of standards-based geospatial services, technologies, and data models as operational assets already in place, can be exploited by health applications for which the geospatial dimension is of great importance . This may be certainly addressed by defining better collaboration strategies to uncover and promote geospatial assets to health community. We discuss the value of collaboration, as well as the opportunities that geographic information infrastructures offer to address geospatial challenges in health applications.

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“…If policy makers' plans are to come to come to fruition, then assisted living service innovations must be scalable and sustainable (Greenhalgh et al 2017), which means that they must not only deliver their promised benefits, but do so in ways that are cost effective (van Limburg et al 2011). However, the optimism that has accompanied various initiatives designed to promote the scaling up of assisted living services pilots and demonstrate their sustainability has not been justified by results (Sanders et.…”

Section: Discussionmentioning

confidence: 99%

Hidden Work and the Challenges of Scalability and Sustainability in Ambulatory Assisted Living

Procter

Wherton

Greenhalgh

2018

ACM Trans. Comput.-Hum. Interact.

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Assisted living technologies may help people live independently while also-potentially-reducing health and care costs. But they are notoriously difficult to implement at scale and many devices are abandoned following initial adoption. We report findings from a study of global positioning system (GPS) tracking devices intended to support the independent living of people with cognitive impairment. Our aims were threefold: to understand (through ethnography) such individuals' lived experience of GPS tracking; to facilitate (through action research) the customization and adaptation of technologies and care services to provide effective, ongoing support; and to explore the possibilities for a co-production methodology that would enable people with cognitive impairment and their families to work with professionals and technical designers to shape these devices and services to meet their particular needs in a sustainable way. We found that the articulation work needed for maintaining the GPS technology in "working order" was extensive and ongoing. This articulation work does not merely supplement formal procedures, a lot of it is needed to get round them, but it is also often invisible and thus its importance goes largely unrecognized. If GPS technologies are to be implemented at scale and sustainably, methods must be found to capitalize on the skills and tacit knowledge held within the care network (professional and lay) to resolve problems, improve device design, devise new service solutions, and foster organizational learning. This article is the latest in a series we have published drawing on a number of studies of assisted living technologies and services. It reports work on a new set of case studies and does not contain material that has been published previously. The project was funded by the NIHR under its Programme Development Grant programme (RP-DG-1213-10003 INTRODUCTIONAssisted living solutions, which include telecare (remote delivery of support services via devices such as alarms or fall detectors to enable vulnerable people to live independently at home) and telehealth (remote clinical monitoring, consultation, and treatment of people in their homes), are increasingly seen by health and social care policy makers as a solution to the inter-related trends of an ageing population; rising rates of chronic illness and disability; cutbacks in health system capacity and budgets; and shifting social roles and expectations. However, while such policy interventions may be well-motivated, in practice there is a substantial gap between the vision and the realities of assisted living technologies and services adoption . Recent UK studies suggest that potential users-i.e., dementia sufferers (clients) and their carers of assisted living technologies are often reluctant to adopt them and/or abandon or disable them after their initial experiences (Sanders et al. 2012;Clark et al. 2011;Bentley et al. 2014;Cook et al. 2016). Such outcomes must cast doubt on whether the policy ambitions of delivering assisted living solut...

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Why Business Modeling is Crucial in the Development of eHealth Technologies

Cited by 148 publications

References 31 publications

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Geospatial information infrastructures to address spatial needs in health: Collaboration, challenges and opportunities

Hidden Work and the Challenges of Scalability and Sustainability in Ambulatory Assisted Living

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