Lecture series Improving patient & population health through innovative e-health interventions: "New dimensions of design for user experience and evaluation in digital health" - Dr Joseph Cafazzo

There continues to be no lack of perceived innovation in digital health
technologies. From virtual care to chronic disease management through
the use of common ubiquitous consumer electronics to more advanced
wearables, there appears to be great promise for a wide range of
applications for patients and providers alike.
Yet the adoption and uptake continue to be poor, with a paucity of
evidence that digital health interventions make any difference at all, and
may be just a distraction and creating a significant opportunity cost. The
blame for this poor adoption and uptake often lies at the feet of the
health system itself and not the technology innovators, with care
providers, administrators, and policy makers considered luddites that
cannot embrace the change that advanced technology brings. This
couldn’t be further from the truth though, as the health system adopts
the most advanced technologies in the diagnostic and therapeutic
realms.
There however remains a design gap that does not consider the
complexity of delivery of care as well is its heterogeneity. This design gap
is a blind spot for most technology innovators in digital health and
otherwise, that limits adoption, but also contributes to a reduced utility
of the technology and a poor user experience. Contemporary design
methods of framing products as services are one way to address this gap.
A case study in the design, development, and implementation of a heart
failure program facilitated through digital health will be presented.
Lastly, the appropriateness of evaluation methods in digital health will
be challenged, whereby a platform for rapid and novel study designs can
be crafted to match the intervention most appropriately..

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