Digital transformation in healthcare
Designing an intervention to facilitate the implementation of the BgZ by bridging the gap between healthcare & policy
E.R. Kroon (TU Delft - Industrial Design Engineering)
Armagan Albayrak – Mentor (TU Delft - Human Factors)
Arjen J. Jansen – Graduation committee member (TU Delft - Emerging Materials)
Petra Kok – Mentor (Reinier de Graaf Gasthuis)
Barbara Grootswagers – Graduation committee member (Ministery van Volksgezondheid, Welvaart en Sport)
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Abstract
Problem definition
The healthcare sector faces escalating pressure due to its current inefficient practices in digital information exchange. The Integral Care Agreement (IZA) from the Ministry of Health, Welfare, and Sport (VWS) and overarching healthcare organizations is focused on creating a future-proof healthcare system. The Wegiz, introduced within the IZA, outlines standards for electronic data exchange among healthcare providers, with the focus on the Basic Dataset for Care (BgZ). However, the implementation of BgZ faces challenges, as insight in the influencing factors and facilitating interventions are limited.
Research outcomes
This research addresses this gap by employing literature reviews, (semi-structured) interviews, observations, and a thematic analyses within the healthcare ecosystem, specifically focused on the experience of medical specialists with the current organization of digital information exchange, to identify the factors affecting the BgZ implementation. A critical finding reveals a disconnect between macro-level legislation and micro-level healthcare practitioners, resulting in an oversight of the human aspect in decision-making and communication of changes. Furthermore, VWS encounters challenges in effectively engaging the target audience, according to medical specialists and organizational employees, leading to various disadvantages, including negative experiences with legislatively driven developments and a lack of awareness among healthcare professionals regarding BgZ and their pivotal role in the transformation. Furthermore, the limited awareness for standardization among specialists and the time and efficiency constraints are additional factors to be taken into account. Although, legislation is obliging interoperability between systems on a technical level, including the human aspect to evoke behaviour change towards standardization is currently limited. The cultural factors of the medical environment are challenging as well as autonomy and hierarchy is deeply rooted, which may influence the attitude towards change.
Design goals
The study emphasizes the need to involve healthcare professionals, starting with the first step of engaging physicians in the change process. To address this, a serious game has been developed with the primary goal of raising awareness about the urgency of BgZ implementation and encouraging active participation and collaboration by provide positive experiences of the opportunities the BgZ includes. The game, evaluated through sessions with the target audience, has proven to be an effective intervention, achieving its set objectives.
Recommendations
As a recommendation, the game should be implemented in an interdisciplinary manner, involving physicians, assistants, IT personnel, organizational staff, and policymakers. This approach aims to connect perspectives and foster collaboration. Ultimately, the game serves as a tool to bridge the gap between policymakers and healthcare practitioners by providing insights into each other’s perspectives, fostering a collective and collaborative approach towards successful BgZ implementation.