User needs in kidney disease monitoring: a user oriented approach to health technology assessment

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Abstract

Introduction: The perspective of the end-user is often overlooked in the evaluation of a technology, especially in the development phase. We aim to extent on an existing model to include the needs & wants of actual users into health technology assessment. Methods: The novel application of the Medimate Multireader® is focused on the monitoring of electrolytes in the blood and is targeted especially at patients at risk of kidney disease. The application should be used by the patient itself. We conducted literature analysis, clinician and patient interviews, and questionnaires to estimate the impact of this technology on the patient, and their willingness and ability to perform self-monitoring tests. Results: First, we identified that patients with diabetes mellitus were the largest and easiest identifiable target group for the device. Second, the clinical needs of the patient group were identified through literature review, practice guideline analysis and interviews with general practitioners and patients. It was concluded that the clinical benefit of this technology to the patient is limited, but there is a desire among patients to have more frequent checks of kidney function. Third, different “use” cases were developed based on the qualitative data collected. In the fourth phase of this study, which is currently ongoing, we use a conjoint analysis methodology to place values on the different aspects of the technology implementation, to determine which factors are most crucial for future development and ultimately implementation. Discussion: The model enables active gearing of the technology towards user needs. As implementation of the technology is crucially dependent on user related factors such as acceptance and actual use, this is paramount. With the addition of quantitative data gathering in the last phase, value judgments are made explicit and further development decisions can be based on data that is easy to interpret for the developer.
Original languageEnglish
Pages (from-to)222-222
JournalGaceta Sanitaria
Volume26
Issue numberSE2
Publication statusPublished - 23 Jun 2012
EventHTAi 2012 Bilbao: 9th Annual Meeting: 'HTA in Integrated Care for a Patient Centred System' - Palau de Congressos de Catalunya, Bilbao, Spain
Duration: 23 Jun 201227 Jun 2012
Conference number: 9

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Biomedical Technology Assessment
Kidney Diseases
Technology
Interviews
Practice Guidelines
General Practitioners
Electrolytes
Diabetes Mellitus
Kidney
Equipment and Supplies

Keywords

  • IR-82450
  • METIS-290359

Cite this

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title = "User needs in kidney disease monitoring: a user oriented approach to health technology assessment",
abstract = "Introduction: The perspective of the end-user is often overlooked in the evaluation of a technology, especially in the development phase. We aim to extent on an existing model to include the needs & wants of actual users into health technology assessment. Methods: The novel application of the Medimate Multireader{\circledR} is focused on the monitoring of electrolytes in the blood and is targeted especially at patients at risk of kidney disease. The application should be used by the patient itself. We conducted literature analysis, clinician and patient interviews, and questionnaires to estimate the impact of this technology on the patient, and their willingness and ability to perform self-monitoring tests. Results: First, we identified that patients with diabetes mellitus were the largest and easiest identifiable target group for the device. Second, the clinical needs of the patient group were identified through literature review, practice guideline analysis and interviews with general practitioners and patients. It was concluded that the clinical benefit of this technology to the patient is limited, but there is a desire among patients to have more frequent checks of kidney function. Third, different “use” cases were developed based on the qualitative data collected. In the fourth phase of this study, which is currently ongoing, we use a conjoint analysis methodology to place values on the different aspects of the technology implementation, to determine which factors are most crucial for future development and ultimately implementation. Discussion: The model enables active gearing of the technology towards user needs. As implementation of the technology is crucially dependent on user related factors such as acceptance and actual use, this is paramount. With the addition of quantitative data gathering in the last phase, value judgments are made explicit and further development decisions can be based on data that is easy to interpret for the developer.",
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author = "{van Til}, Janine and Maarten IJzerman and Ron Kusters",
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User needs in kidney disease monitoring : a user oriented approach to health technology assessment. / van Til, Janine; IJzerman, Maarten; Kusters, Ron.

In: Gaceta Sanitaria, Vol. 26, No. SE2, 23.06.2012, p. 222-222.

Research output: Contribution to journalMeeting AbstractAcademic

TY - JOUR

T1 - User needs in kidney disease monitoring

T2 - a user oriented approach to health technology assessment

AU - van Til, Janine

AU - IJzerman, Maarten

AU - Kusters, Ron

PY - 2012/6/23

Y1 - 2012/6/23

N2 - Introduction: The perspective of the end-user is often overlooked in the evaluation of a technology, especially in the development phase. We aim to extent on an existing model to include the needs & wants of actual users into health technology assessment. Methods: The novel application of the Medimate Multireader® is focused on the monitoring of electrolytes in the blood and is targeted especially at patients at risk of kidney disease. The application should be used by the patient itself. We conducted literature analysis, clinician and patient interviews, and questionnaires to estimate the impact of this technology on the patient, and their willingness and ability to perform self-monitoring tests. Results: First, we identified that patients with diabetes mellitus were the largest and easiest identifiable target group for the device. Second, the clinical needs of the patient group were identified through literature review, practice guideline analysis and interviews with general practitioners and patients. It was concluded that the clinical benefit of this technology to the patient is limited, but there is a desire among patients to have more frequent checks of kidney function. Third, different “use” cases were developed based on the qualitative data collected. In the fourth phase of this study, which is currently ongoing, we use a conjoint analysis methodology to place values on the different aspects of the technology implementation, to determine which factors are most crucial for future development and ultimately implementation. Discussion: The model enables active gearing of the technology towards user needs. As implementation of the technology is crucially dependent on user related factors such as acceptance and actual use, this is paramount. With the addition of quantitative data gathering in the last phase, value judgments are made explicit and further development decisions can be based on data that is easy to interpret for the developer.

AB - Introduction: The perspective of the end-user is often overlooked in the evaluation of a technology, especially in the development phase. We aim to extent on an existing model to include the needs & wants of actual users into health technology assessment. Methods: The novel application of the Medimate Multireader® is focused on the monitoring of electrolytes in the blood and is targeted especially at patients at risk of kidney disease. The application should be used by the patient itself. We conducted literature analysis, clinician and patient interviews, and questionnaires to estimate the impact of this technology on the patient, and their willingness and ability to perform self-monitoring tests. Results: First, we identified that patients with diabetes mellitus were the largest and easiest identifiable target group for the device. Second, the clinical needs of the patient group were identified through literature review, practice guideline analysis and interviews with general practitioners and patients. It was concluded that the clinical benefit of this technology to the patient is limited, but there is a desire among patients to have more frequent checks of kidney function. Third, different “use” cases were developed based on the qualitative data collected. In the fourth phase of this study, which is currently ongoing, we use a conjoint analysis methodology to place values on the different aspects of the technology implementation, to determine which factors are most crucial for future development and ultimately implementation. Discussion: The model enables active gearing of the technology towards user needs. As implementation of the technology is crucially dependent on user related factors such as acceptance and actual use, this is paramount. With the addition of quantitative data gathering in the last phase, value judgments are made explicit and further development decisions can be based on data that is easy to interpret for the developer.

KW - IR-82450

KW - METIS-290359

UR - http://www.gacetasanitaria.org/en/vol-26-num-se2/sumario/X0213911112X37959/

M3 - Meeting Abstract

VL - 26

SP - 222

EP - 222

JO - Gaceta Sanitaria

JF - Gaceta Sanitaria

SN - 0213-9111

IS - SE2

ER -