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Exploring a Digital Health Solution to Collect and Manage Health-Related Needs for Patients Who Undergo Complex

Naleef Fareed1, Humza Asgher1, Diamantis Tsilimigras2

  • 1Department of Biomedical Informatics, College of Medicine, The Ohio State University, 370 West 9th Avenue, Columbus, OH, 43210, United States, 1 614 366 0283.

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|December 8, 2025
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Summary

Digital solutions can improve care for complex surgery patients by addressing health needs. This study identified key features for a digital tool to streamline care and improve patient outcomes.

Keywords:
digital healthelectronic health record datahealth needssocial needssurgery

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Area of Science:

  • Digital health solutions
  • Surgical patient care
  • Health informatics

Background:

  • Complex surgeries like esophagectomy and liver resection create significant medical, social, and behavioral health needs for patients.
  • Digital solutions offer a potential pathway to systematically collect and address these patient needs.
  • Improved management of health needs can enhance treatment adherence and reduce complications and readmissions.

Purpose of the Study:

  • To identify gaps in current health-related needs collection and management for complex surgery patients.
  • To define user specifications for an effective digital solution to address these needs.
  • To improve patient outcomes through optimized care management.

Main Methods:

  • Utilized the double diamond framework with qualitative methods (interviews) and participatory design sessions.
  • Gathered perspectives from 20 patients and 24 care team members on health needs and digital solutions.
  • Analyzed electronic health record (EHR) data to corroborate findings.

Main Results:

  • Identified four critical workflow gaps: inconsistent needs management, patient reluctance to report sensitive needs, lack of referral resources, and need for closed-loop interventions.
  • Patients and care teams provided feedback on desired features for digital tools, including goals and active plans.
  • Existing EHR tools showed varied usability, highlighting the need for tailored digital solutions.

Conclusions:

  • Digital solutions can streamline health needs management for surgical patients, improving activation and outcomes.
  • Addressing unmet needs through digital platforms is crucial for positive patient experiences and recovery.
  • This study's findings inform the development of specific digital solution features for complex surgery patients.