This document discusses why patient engagement with health information online has been limited. It argues that the technology perspective sees healthcare as rational and evidence-based, but it is actually ambiguous, founded on relationships and reassurance. True engagement requires considering motivation, capability and opportunity for behavior change. Interdisciplinary teams including social scientists are needed to connect innovation to how people experience healthcare in reality.
15. How Technologists See Healthcare
• Rational
• Evidence-based
• Problem-solving
• Focused on well-defined
conditions
16. How Healthcare Actually Is
“Perhaps healthcare’s greatest
responsibility is helping to
compassionately mediate the patient’s
experience of illness.” – David Shaywitz,
Forbes.com
• Ambiguous
• Founded on
• relationships
• connectedness
• trusted advice
• reassurance
• off-loading of significant
responsibilities from
patient to doctor
18. The Behaviour
Change Wheel
Michie, S., van Stralen, M. M., & West, R.
(2011). The behaviour change wheel: a new
method for characterising and designing
behaviour change interventions.
Implementation science : IS, 6(1), 42.
doi:10.1186/1748-5908-6-42
19. Where are the social scientists in
your teams?
Computer Science
Psychology
(Industrial) Design
Sociology
Taylor Health Design, a consultancy focusing on the analysis and design of healthcare systems and intervention programmes aimed at changing patient behaviour for better health outcomes. background in clinical and health psychology in the public and private healthcare systems and the health technology, pharma and insurance industries.Working on m-health, e-health and telehealth strategies and interventions, including gamification.
Going to be provocative – generalisations – you are the exception, of courseAn unfortunate effect of much clinician-facing technology is that it has dragged attention away from the patientComputer can be much more demanding and challenging than the patientClinicians can feel just as left out and misunderstood by the technology as the patient can by the clinician
Most people do not see value in their medical records per se – and those who should arguably be preventing from accessing themGenerate value for the patients by understanding what they really want and then add the clinical and health administration features.Never do this in the other order.
Nike reigns supreme. Microsoft and Google have already fallen. The VCs and privateers are in there trying to hack out an advantage. Private practice is doing everything it can to not get slaughtered and stay out of the fray. Hospitals have mostly not even noticed that there is a battle going on – maybe because they are struggling with the guerilla warfare inside their own territory.
Why is this guy grilling steaks?Engineers throughout time have been prone to focusing on their products and missing out on where the action really is.
This product will remain nameless because we see no point in shaming anyone here.
As opposed to Nike, who deserve praise for creating a platform where people track their health whilst doing something of value.
As opposed to Nike where people track their health whilst doing something of value.
Patients and doctors are human beings and therefore consistently irrational - ie they don’t always think like classical economists or engineers think they shouldTechnologists usually don’t ‘get’ healthcare
Our heroic healthcare professionals fight the good fight on the frontlines of illness and disease
Overwhelmed, under-gunned, exhausted
Technology capability can provide part of the opportunity (although healthcare is the ultimate source) but what about the rest of the equation? How much attention is paid to the capability of the end-users to apply the technology and their motivation to do so?
Susan Michie and her colleagues in London - exploring the swamps of health-related behaviour changeFramework for developing an intervention strategy that has much to offer technology innovation – which is an interventionThree interdependent levels that must be incorporated into the strategy
Your products will require behaviour change by the end-users, on whom you are dependent for real-world success. How well equipped are your teams to develop a strategy that addresses the three levels identified by Michie et al?
Healthcare is not about technology or even disease, it is about people. Ultimately, healthcare technology too is not about technology, it too is about people.