Recruiting organisation: Department of Public and Occupational Health at the Amsterdam University Medical Center, the Netherlands
Supervisors: Prof. Martine de Bruijne; dr. Marijke Melles, dr. Gerard Kraan, prof. Tanja Manser
Doctoral Candidate: Yutian (Tony) Sun
Secondments: Reinier de Graaf HAGA Orthopedic Center in Delft (NL) (3 months & 2 moths); University of Applied Sciences and Arts Northwestern Switzerland (3 months); Department of Applied Ergonomics and Design of the Faculty of Industrial Design Engineering at Technical University of Delft (3 months)
Summary: The purpose of this project is to develop knowledge for the human centered implementation of networked care for orthopedic patients, taking the patient journey as a starting point. The goals of the project are to: (1) Investigating the needs, values, facilitators and barriers of all stakeholders involved in networked orthopedic care, by using human centered design research techniques (i.e. a sociotechnical system perspective including stakeholder mapping, context mapping and patient journey mapping); (2) Develop a framework for networked care and identify opportunities for digital support; and (3) Develop, prototype and evaluate a tool to support team structures and processes in networked care.
Summary
The purpose of this project is to develop knowledge for the design and implementation of networked care starting from a human-centered design research perspective. Hand-wrist orthopedic care will be the context. The goal of the project will be achieved through: (1) Investigating the needs, values, facilitators and barriers of all stakeholders involved in networked care, by using human-centered design and human factors research techniques (i.e. a sociotechnical system perspective including stakeholder mapping, context mapping and patient journey mapping). (2) Developing a theoretical framework for networked care in hand-wrist orthopedics and identify opportunities for (digital) support; and (3) Developing, prototyping and evaluating support for networked care in hand-wrist orthopedics.
Background
The purpose of this project is to develop knowledge for the design and implementation of networked care starting from a human-centered design research perspective. Where care traditionally is organised to optimize professional efficiency for each medical discipline separately, this hampers the overall quality, experience, value and flow of care for the patient. Networked care, i.e. a coordinated way in which care providers work together to improve the health outcome of individual patients, seems a promising solution.
The project will focus on hand-wrist orthopedic care. Diagnosing and treating acquired hand and wrist pathology is challenging. Many disciplines are involved and interventions range from surgical to non-surgical treatment, including a splint or brace prescription, physiotherapy, pain medication, and psychosocial therapy. In addition, there is an international debate in progress concerning instability and complaints in the wrist in which two main viewpoints seem to oppose each other: (1) Diagnosing and treatment based on imaging and invasive diagnostics measurement. (2) Diagnosing and treatment based on psychosocial patient characteristics. This makes the field of hand-wrist orthopedics an interesting yet challenging case study to investigate the added value and practical implementation of networked care.
In this human-centered project, the requirements from a sociotechnical system’s perspective are taken as a starting point, taking both viewpoints into account with the various actors (i.e. patient, caregivers, health professionals, employers) in the network able to add value to the patient’s individual care system.
Approach
The goal of the project will be achieved through: (1) Investigating the needs, values, facilitators and barriers of all stakeholders involved in networked orthopedic care, by using human-centered design and human factors research techniques (i.e. a sociotechnical system perspective including stakeholder mapping, context mapping and patient journey mapping), (2) Developing a theoretical framework for networked care in hand-wrist orthopedics and identify opportunities for (digital) support; and (3) Developing, prototyping and evaluating support for networked care in hand-wrist orthopedics.
This PhD will result in knowledge of contextual challenges and information needs for the implementation of human-centered networked care in hand-wrist orthopedics, an evaluated proposal for the implementation of networked care in hand-wrist orthopedics, and guidance for designers, end-users and policy makers on the implementation of networked care in general.
Our research team
The Doctoral Candidate will join the Department of Public and Occupational Health at the Amsterdam University Medical Center and will collaborate closely with the Department of Human-Centered Design of the Faculty of Industrial Design Engineering at Delft University of Technology.
The Doctoral Candidate will complete four secondments during the studies. In the first year, a three month secondment at the Reinier de Graaf HAGA Orthopedic Center in Zoetermeer (NL) to gain insight in orthopedic care and opportunities for orthopaedic networked care. Next, at the end of the second year, a three month secondment follows at University of Applied Sciences and Arts Northwestern in Switzerland, to form a theoretical basis for the framework of networked care. In the third year, a three months secondment follows at the Department of Human-Centered Design of the Faculty of Industrial Design Engineering at Delft University of Technology (NL) to carry out human centered design of a prototype. Finally, at the end of the third year a two months secondments takes place at the Orthopedic center again to evaluate the prototype.
“Tools4Teams” is an EU-funded doctoral network, that investigates different instruments and tools to support teamwork in different parts of the healthcare system. Tools are technical as well as procedural. The network allows the various PhD candidates in a variety of European countries to meet and to learn with and from each other and the collective group of PhD supervisors. The consortium brings together the leading researchers on team processes in their various forms and applications. The network activities will support the mutual exchange of candidates and supervisors in unique ways, such as spring and winter schools and network wide meetings with academic and non-academic partners.
Amsterdam UMC
The Amsterdam UMC is the largest hospital and foremost medical research institution in the Netherlands with over 13,000 employees, combining what were previously the Academic Medical Center and Vrije Universiteit Medical Center. The location of Amsterdam UMC at De Boelelaan is part of the Vrije Universiteit Amsterdam. Some 2500 staff members are fully or partially employed in medical research. Amsterdam Public Health Research Institute is one of the 8 research institutes of Amsterdam UMC that conducts world-class research with about 1700 researchers in 9 research programs, including Digital Health and Quality of Care (see Amsterdam Public Health (amsterdamumc.org). Amsterdam UMC houses high quality core facilities including an eHealth Living and Learning Lab.