Abstract
BackgroundHome care patients often use many medications and are prone to drug-related problems (DRPs). For the management of problems related to drug use, home care could add to the multidisciplinary expertise of general practitioners (GPs) and pharmacists. The home care observation of medication-related problems by home care employees (HOME)-instrument is paper-based and assists home care workers in reporting potential DRPs. To facilitate the multiprofessional consultation, a digital report of DRPs from the HOME-instrument and digital monitoring and consulting of DRPs between home care and general practices and pharmacies is desired.ObjectiveThe objective of this study was to develop an electronic HOME system (eHOME), a mobile version of the HOME-instrument that includes a monitoring and a consulting system for primary care.MethodsThe development phase of the Medical Research Council (MRC) framework was followed in which an iterative human-centered design (HCD) approach was applied. The approach involved a Delphi round for the context of use and user requirements analysis of the digital HOME-instrument and the monitoring and consulting system followed by 2 series of pilots for testing the usability and redesign.ResultsBy using an iterative design approach and by involving home care workers, GPs, and pharmacists throughout the process as informants, design partners, and testers, important aspects that were crucial for system realization and user acceptance were revealed. Through the report webpage interface, which includes the adjusted content of the HOME-instrument and added home care practice–based problems, home care workers can digitally report observed DRPs. Furthermore, it was found that the monitoring and consulting webpage interfaces enable digital consultation between home care and general practices and pharmacies. The webpages were considered convenient, clear, easy, and usable.ConclusionsBy employing an HCD approach, the eHOME-instrument was found to be an easy-to-use system. The systematic approach promises a valuable contribution for the future development of digital mobile systems of paper-based tools.
Highlights
BackgroundPharmacotherapy is one of the most common interventions used in health care
The users and stakeholders were involved throughout the development phase by means of the human-centered design (HCD) for interactive systems [17] to develop a usable electronic home care employees (HOME) system (eHOME)-instrument that fits the needs of the end users
One report webpage interface was developed in which the drug-related problems (DRPs) could be reported and forwarded to the monitoring webpage of the home care nurse
Summary
BackgroundPharmacotherapy is one of the most common interventions used in health care. The challenges of the HOME-instrument observation forms include issues such as problems to transfer or store forms into an electronic patient file and difficulty in monitoring and comparing the progression of DRPs over time It does not offer consultation with other primary care disciplines, such as general practitioners (GPs) and pharmacists. Collaboration between different health care professionals can be used to develop a usable electronic HOME system (eHOME) that combines the report of DRPs (based on the content of the HOME-instrument) and the monitoring and multidisciplinary consultation of DRPs in primary care. The home care observation of medication-related problems by home care employees (HOME)-instrument is paper-based and assists home care workers in reporting potential DRPs. To facilitate the multiprofessional consultation, a digital report of DRPs from the HOME-instrument and digital monitoring and consulting of DRPs between home care and general practices and pharmacies is desired. The systematic approach promises a valuable contribution for the future development of digital mobile systems of paper-based tools
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