Active Arrival - Evaluation of a Digital Innovation that enables Patient Participation in Emergency Care: In cooperation with New Hospital North Zealand & the Regional Hospital in Horsens

Fie Brosbøl Kobberup & Brit-Silje Sode

Student thesis: Master thesis


Strategies for providing efficient and effective health care are imperative, as health care expenditures areincreasing and higher demands are made towards improved quality in the health services delivered. Thisthesis study seeks to investigate if the use of patient-generated data in an emergency context has the potentialto meet these challenges, by improving the quality of care delivered, and moving tasks from physicians topatients so that patients’ and hospitals’ resources are utilised optimally.The project is investigating the patient-generated journal Axigram tested in an emergency department inDenmark, in collaboration with New Hospital North Zealand and the Regional Hospital in Horsens. By theuse of a mixed method approach, Axigram is investigated from the perspectives of key stakeholders, namely:patients, physicians, the leadership in the emergency department and the developers behind Axigram. Thecollected empirical data is analysed from a hermeneutic approach and furthermore discussed using Leavitt’stheory on applied organisational change, Lean Philosophy, and Lean UX.From the findings, it is evident that patients in need for urgent care well accept the use of patient-generateddata, and that the patients highly favours being activated in their patient pathway. Furthermore, the findingsalso show that physicians are positive towards the use of patient-generated data and that it has the potentialto improve their work processes when fully developed. The investigation, therefore, concludes that theconcept of utilising patient-reported data in an urgent setting has proved to be valuable, where the conceptand the specific patient-generated journal tested, therefore, should be further developed.To address the challenges and need for improvements identified, two recommendations are suggested to thehospitals. The first improvement initiative is to adjust the functionalities in Axigram, making it morecustomised and tailored to the emergency setting and its end-users (primary patients and physicians). Thesecond recommendation is for the hospitals to systematically analyse and evaluate the quality of Axigramand the patient pathways at the emergency departments by the use of key performance indicators and selfreported patient ratings.In conclusion, the project argues that a fully integrated patient-generated journal will serve to provide moreefficient and effective care delivery in emergency departments in Denmark, through the standardised sharingof information and data presentation, and promotion of patient involvement.

EducationsMSc in Business Administration and Innovation in Health Care, (Graduate Programme) Final Thesis
Publication date2019
Number of pages123
SupervisorsPedro Oliveira