Reports on issues dealing with user-centered design (UCD) in digital healthcare. UCD is the focus of many teams developing digital health innovations, yet principles are not always effectively employed. We have identified several common ways that UCD principles fall short at all stages of the design process and steps to overcome those pitfalls. From connecting patients, providers, and caregivers, to remotely monitoring patient health outcomes, to aiding individuals selfmanaging their own conditions, technology is changing how we manage health. As technologies with potential application to healthcare have advanced, so has interest in pushing the envelope. As experienced researchers of digital health solutions, we have been researching, publishing, and reviewing grants in this space and working with our own multidisciplinary teams of engineers, computer scientists, clinicians, and patients. We have learned many lessons from our successes and failures, and those of others. On one hand, we have seen solutions change lives, but on the other, we have seen innovations make advancements in science and engineering but lack clinical utility. Sometimes these are true “hammers in search of nails,” where an innovation is inadequately applied to healthcare; other times they are misguided attempts at innovation, lacking proper understanding of clinical context.

中文翻译：

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以用户为中心的设计应用于数字健康的常见缺陷

有关处理数字医疗保健中以用户为中心的设计 (UCD) 的问题的报告。UCD 是许多开发数字健康创新团队的重点，但并不总是有效地运用原则。我们已经确定了 UCD 原则在设计过程的所有阶段以及克服这些缺陷的步骤中都存在不足的几种常见方式。从连接患者、提供者和护理人员，到远程监控患者的健康结果，再到帮助个人自我管理自己的状况，技术正在改变我们管理健康的方式。随着可能应用于医疗保健的技术不断进步，人们对突破极限的兴趣也在不断提高。作为数字健康解决方案方面经验丰富的研究人员，我们一直在研究、发布和审查该领域的资助，并与我们自己的多学科工程师团队合作，计算机科学家、临床医生和患者。我们从我们的成功和失败以及其他人的成功和失败中吸取了许多教训。一方面，我们看到解决方案改变生活，但另一方面，我们看到创新在科学和工程方面取得了进步，但缺乏临床实用性。有时这些是真正的“寻找钉子的锤子”，其中一项创新并未充分应用于医疗保健；其他时候，他们是错误的创新尝试，缺乏对临床背景的正确理解。” 创新未充分应用于医疗保健；其他时候，他们是错误的创新尝试，缺乏对临床背景的正确理解。” 创新未充分应用于医疗保健；其他时候，他们是错误的创新尝试，缺乏对临床背景的正确理解。