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Designing medical technology for resilience: Integrating health economics and human factors approaches

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Title: Designing medical technology for resilience: Integrating health economics and human factors approaches
Authors: Borsci, S
Uchegbu, I
Buckle, P
Ni, Z
Walne, S
Hanna, GB
Item Type: Journal Article
Abstract: INTRODUCTION: The slow adoption of innovation into healthcare calls into question the manner of evidence generation for medical technology. This paper identifies potential reasons for this including a lack of attention to human factors, poor evaluation of economic benefits, lack of understanding of the existing healthcare system and a failure to recognise the need to generate resilient products. Areas covered. Recognising a cross-disciplinary need to enhance evidence generation early in a technology's life cycle, the present paper proposes a new approach that integrates human factors and health economic evaluation as part of a wider systems approach to the design of technology. This approach (Human and Economic Resilience Design for Medical Technology or HERD MedTech) supports early stages of product development and is based on the recent experiences of the National Institute for Health Research London Diagnostic Evidence Co-operative in the UK. Expert commentary. HERD MedTech i) proposes a shift from design for usability to design for resilience, ii) aspires to reduce the need for service adaptation to technological constraints iii) ensures value of innovation at the time of product development, and iv) aims to stimulate discussion around the integration of pre- and post-market methods of assessment of medical technology.
Issue Date: 20-Dec-2017
Date of Acceptance: 14-Dec-2017
URI: http://hdl.handle.net/10044/1/55493
DOI: https://dx.doi.org/10.1080/17434440.2018.1418661
ISSN: 1743-4440
Publisher: Taylor & Francis
Start Page: 15
End Page: 26
Journal / Book Title: Expert Review of Medical Devices
Volume: 15
Issue: 1
Copyright Statement: © 2017 Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in Expert Review of Medical Devices on 20 Dec 2017, available online: http://www.tandfonline.com/doi/full/10.1080/17434440.2018.1418661
Sponsor/Funder: National Institute for Health Research
Funder's Grant Number: WSSS_P57522
Keywords: Resilience
clinical pathway mapping
clinical usefulness
health economics
health technology assessment
healthcare technology development
healthcare technology value proposition
human factors
risks
usability
Clinical pathway mapping
Clinical usefulness
Health economics
Health technology assessment
Healthcare technology development
Healthcare technology value proposition
Human factors
Risks
Usability
0903 Biomedical Engineering
Biomedical Engineering
Publication Status: Published online
Appears in Collections:Department of Surgery and Cancer