학술논문

Applying Human-Centered Design Principles to Digital Syndromic Surveillance at a Mass Gathering in India: Viewpoint.
Document Type
Academic Journal
Author
Shaikh A; Institute for Critical Care Medicine, Mount Sinai Hospital, New York, NY, United States.; Bhatia A; Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.; India Digital Health Network, Lakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.; Yadav G; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, United States.; Hora S; Articulate Labs, Inc, San Francisco, CA, United States.; Won C; Department of Emergency Medicine, Memorial Hermann Hospital -Baylor College of Medicine, Houston, TX, United States.; Shankar M; Department of Emergency Medicine, Jacobi Medical Center, New York, NY, United States.; Heerboth A; India Digital Health Network, Lakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.; Vemulapalli P; University Hospitals Center for Emergency Medicine, Cleveland Medical Center, Cleveland, OH, United States.; Navalkar P; Lifesupporters Institute of Health Sciences, Mumbai, India.; Oswal K; Department of Public Health Dentistry, Sharad Pawar Dental College, Maharashtra, India.; Heaton C; India Digital Health Network, Lakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.; Saunik S; Department of General Administration, Government of Maharashtra, Mumbai, India.; Harvard TH Chan School of Public Health, Boston, MA, United States.; Khanna T; Harvard Business School, Boston, MA, United States.; Balsari S; India Digital Health Network, Lakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, United States.; Department of Emergency Medicine, Beth Israel Deaconess- Harvard Medical School, Boston, MA, United States.
Source
Publisher: JMIR Publications Country of Publication: Canada NLM ID: 100959882 Publication Model: Electronic Cited Medium: Internet ISSN: 1438-8871 (Electronic) Linking ISSN: 14388871 NLM ISO Abbreviation: J Med Internet Res Subsets: MEDLINE
Subject
Language
English
Abstract
In the wake of the COVID-19 pandemic, digital health tools have been deployed by governments around the world to advance clinical and population health objectives. Few interventions have been successful or have achieved sustainability or scale. In India, government agencies are proposing sweeping changes to India's digital health architecture. Underpinning these initiatives is the assumption that mobile health solutions will find near universal acceptance and uptake, though the observed reticence of clinicians to use electronic health records suggests otherwise. In this practice article, we describe our experience with implementing a digital surveillance tool at a large mass gathering, attended by nearly 30 million people. Deployed with limited resources and in a dynamic chaotic setting, the adherence to human-centered design principles resulted in near universal adoption and high end-user satisfaction. Through this use case, we share generalizable lessons in the importance of contextual relevance, stakeholder participation, customizability, and rapid iteration, while designing digital health tools for individuals or populations.
(©Ahmed Shaikh, Abhishek Bhatia, Ghanshyam Yadav, Shashwat Hora, Chung Won, Mark Shankar, Aaron Heerboth, Prakash Vemulapalli, Paresh Navalkar, Kunal Oswal, Clay Heaton, Sujata Saunik, Tarun Khanna, Satchit Balsari. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 10.01.2022.)