A qualitative analysis of remote patient monitoring: how a paradox mindset can support balancing emotional tensions in the design of healthcare technologies

Fuente: arXiv
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Auteurs principaux: Jonassen, Zoe, Lawrence, Katharine, Wiesenfeld, Batia Mishan, Feuerriegel, Stefan, Mann, Devin
Format: Preprint
Publié: 2024
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author Jonassen, Zoe
Lawrence, Katharine
Wiesenfeld, Batia Mishan
Feuerriegel, Stefan
Mann, Devin
author_facet Jonassen, Zoe
Lawrence, Katharine
Wiesenfeld, Batia Mishan
Feuerriegel, Stefan
Mann, Devin
contents Remote patient monitoring (RPM) is the use of digital technologies to improve patient care at a distance. However, current RPM solutions are often biased toward tech-savvy patients. To foster health equity, researchers have studied how to address the socio-economic and cognitive needs of diverse patient groups, but their emotional needs have remained largely neglected. We perform the first qualitative study to explore the emotional needs of diverse patients around RPM. Specifically, we conduct a thematic analysis of 18 interviews and 4 focus groups at a large US healthcare organization. We identify emotional needs that lead to four emotional tensions within and across stakeholder groups when applying an equity focus to the design and implementation of RPM technologies. The four emotional tensions are making diverse patients feel: (i) heard vs. exploited; (ii) seen vs. deprioritized for efficiency; (iii) empowered vs. anxious; and (iv) cared for vs. detached from care. To manage these emotional tensions across stakeholders, we develop design recommendations informed by a paradox mindset (i.e., "both-and" rather than "and-or" strategies).
format Preprint
id arxiv_https___arxiv_org_abs_2411_14233
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A qualitative analysis of remote patient monitoring: how a paradox mindset can support balancing emotional tensions in the design of healthcare technologies
Jonassen, Zoe
Lawrence, Katharine
Wiesenfeld, Batia Mishan
Feuerriegel, Stefan
Mann, Devin
Human-Computer Interaction
Remote patient monitoring (RPM) is the use of digital technologies to improve patient care at a distance. However, current RPM solutions are often biased toward tech-savvy patients. To foster health equity, researchers have studied how to address the socio-economic and cognitive needs of diverse patient groups, but their emotional needs have remained largely neglected. We perform the first qualitative study to explore the emotional needs of diverse patients around RPM. Specifically, we conduct a thematic analysis of 18 interviews and 4 focus groups at a large US healthcare organization. We identify emotional needs that lead to four emotional tensions within and across stakeholder groups when applying an equity focus to the design and implementation of RPM technologies. The four emotional tensions are making diverse patients feel: (i) heard vs. exploited; (ii) seen vs. deprioritized for efficiency; (iii) empowered vs. anxious; and (iv) cared for vs. detached from care. To manage these emotional tensions across stakeholders, we develop design recommendations informed by a paradox mindset (i.e., "both-and" rather than "and-or" strategies).
title A qualitative analysis of remote patient monitoring: how a paradox mindset can support balancing emotional tensions in the design of healthcare technologies
topic Human-Computer Interaction
url https://arxiv.org/abs/2411.14233