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Wiki source code of Step 1: Use Case

Last modified by Jef van Schendel on 2022/07/28 11:12
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1 |(% style="width:285px" %)**Topic**|(% style="width:356px" %)**Question**|(% style="width:562px" %)**Answer Group 1**|(% style="width:317px" %)**Answer Group 2**|(% style="width:317px" %)**Answer Group 3**
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3 [[image:image-20220610113727-1.png]]
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5 //Stakeholders//
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7 Which stakeholders are involved in your use case?
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9 (if there are many, choose 3 max to focus on)
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12 Please add name, age, gender, and one hobby (i.e. a first step towards the identification of personas).
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14 **Patient:** Thomas, 52 years old, collects and smokes sigars. Someone suffering from T2DM for some time now.
15 \\**Coach: **Sanne, 35 years old, makes ceramics. A general practitioner, a T2DM nurse, practitioners assistent, or lifestyle coach.
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17 **Friend/family:** Klaas, 28 years old, likes to play and walk with his dogs. A friend or family member of the patient.
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19 **Patient: **Bob, 60 years old, banker and soccer coach.
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21 **Medical Doctor (MD): **Anna, 42 years old and a cyclist.
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23 **Spouse: **Alice, teacher and plays hockey.
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25
26 ~-~-~-~-
27 \\For the future; a health insurance stakeholder? For now perhaps just realize that they also have a unique stake in this.
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30 Similarly, recognize a wider variety of patient groups. For instance, patients with a low literacy.
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32 **T2DM patient: **either older (58-65, diabetes for a longer time, additional illnesses), or younger (employer more involved, high risk of developing complications)
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34 **Partner/direct family: **who are caregivers for the patient (“mantelzorgers”)
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36 **Employer**
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39 **Zorgverlener (consulterend)**
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41 **Zorgverlener (uitvoerend)**
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43 **Health professionals**
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45 **Second line specialists**
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48 **Insurance companies/government (“the one who pays”)**
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50 **Zorginstituut Nederland**
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52 **Scientific organisations**
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54 **Pharmaceutical industry**
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56 **Interest groups (community)**
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59 **Researcher**
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62 **Municipality**
63 )))
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65 [[image:image-20220610113727-2.png||height="253" width="227"]]
66
67 //Stakeholders' goal//
68 )))|(% style="width:356px" %)What do these people want to achieve?|(% style="width:562px" %)(((
69 **Thomas** does not care overly much for his own health, he does care for his family however. **He wants to see his grandchildren grow up and be able to play with them.**
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71 **Sanne **started as a general practitioner to help people become more healthy in their everyday lives. She often sees T2DM patients that vary widely in their needs, health and willingness to to address issues and wants to offer each the advice and treatments that fits them best. **She wants to translate the needs of patients such as from Thomas to effective interventions.**
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73 **Klaas **is worried that his father Thomas does not take good care of himself or does not put sufficient effort into this. **He wants to remove any (mental) barriers that might hinder Thomas.**
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75 Bob wants to manage his glucose levels better. I would lke to have a better quality of life.
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77 Anna wants her advice to be heard by her patients.
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79 Alice wants Bob to feel better and happier.
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81 **Patient: **maintain quality of life, do as little as possible, intervene at certain moment in time (at first diagnosis, when complications occur, etc.), bring diabetes in remission (10%)/accept (90%)
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83 **Partner/direct family: **enjoy as long as possible, maintain status quo, simulate independence
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85 **Employer: **labor productivity, employability
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88 **Zorgverlener (consulterend):** decrease administrative load, keep healthcare accessible, motivate patient for lifestyle changes
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90 **Zorgverlener (uitvoerend): **well-informed patient, effective treatment of disease/affliction
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92 **Health professionals:** support lifestyle change, maintain income (financial position)
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94 **Second line specialists: **provide quality healthcare, welfare of the patient, make money
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98 **Insurance companies/government: **keep healthcare sustainable (“duurzaam en houdbaar”), spend lowest amount of money
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100 **Municipality: **prevent disturbance of public order, provide safe living environment for individual citizens
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102 **Zorginstituut: **keep healthcare sustainable
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104 **Scientific organisations:** improving healthcare
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106 **Pharmaceutical industry: **generate revenue, appreciation
107 )))
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109 [[image:image-20220610113727-3.png||height="248" width="246"]]
110
111 //Values and motivation//
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113 Why do these people want to achieve this?
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115 * What are main drivers?
116 * Which values are relevant (e.g., fairness, equality, autonomy, …)?
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118 **Thomas **values **family and friends**. He is driven to **not become a burden** to them and to **support** them as much as he possibly can. He understands that he needs to be in good health to do so, but it troubles him that he apparantly needs to change for that even though he does not feel unhealthy or has any of the complications people tell him about. He does not want to give up his sundays with family while smoking a cigar and eating some cake.
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120 **Sanne **values **altruism **as she wants to help her community with their health. She is driven by her **experiences** what (chronic) health issues can do to a person and their family and friends. It troubles her greatly that a patient like Thomas is so difficult to motivate to change his lifestyle. Those short moments she gets to speak to him, she gets the impression he could be made to change but is hindered by a lack of understanding why this is needed. She tries to explain to him the potential complications but he does not seem to take it by heart. This frustrates her every time.
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122 **Klaas **values **honesty and kindness**. He is driven to **support **his father, Thomas, in his required lifestyle changes such that he can play with his grandchildren every sunday. He wants nothing else for his father, then that he is able to enjoy his life. It worries him however to see his father smoke and eat unhealthy every time. Often this leads to arguments as he feels his father is not being honest about his efforts to change his life style.
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124 Bob wants to spend time with his family.
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126 Anna wants to perform valuable work, contribute to society and interact with others and build a relationship with them.
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128 Alice wants to learn more about T2DM.
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135 **Zorgverlener (uitvoerend):** satisfied patient
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137 **Healthcare professionals:** maintain income
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139  
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142 [[image:image-20220610113727-4.png||height="298" width="207"]]
143
144 //Role, task and context//
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146 What is humans' role in the overall task performance or activities? (e.g., think about the responsibilities)
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148 What are the main tasks or activities of these people?
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150 (Note that the roles, tasks or activities of the humans can change due to the introduction of new technology)
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152 Which context factors have a major effect on the performance or activities?
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154 For **Thomas **to prevent complications in the near future he needs to **change his lifestyle in a sustainable way**. In the end, it is Thomas who is **reponsible for making these changes**. No one else can **exercise **for him, **stop smoking** and **change his diet**. He finds this very difficult however, as **he does not experience the complications** he is being informed about **nor is he currently limited in living his life** as he want to.
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156 **Sanne **talks with Thomas about once every three months to **monitor** his health and progress in preventing complications and **provide advice** on his lifestyle where needed. She is responsible that there is **an accurate representation of Thomas' health status** and t**o know what should be done to improve it if needed**.** **She only **has very limited time** to do this, as her talks with Thomas are often only 5 to 10 minutes long and she has **many other patients** that require her attention.
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158 **Klaas **finds it difficult to know what his role is, but feels it is to support Thomas. The task he has taken on for himself is **to hear about the advice his doctor gave** Thomas after each consult and try **to motivate him to follow that advice**. He often finds this difficult as **Thomas is generally not interested in talking about this** as he only wants to focus on Klaas' life and his children. Klaas also does **not want to argue** everytime when he visits his father.
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163 Bob wants to follow the given advice or not. He also wants to check his own glucose levels, inject his own insulin and manage his food intake. Aside from that he wants to go about his daily tasks and activities. This involves mostly doing his job and coaching a soccer team.
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165 Anna wants to prescribe adequate treatment and provide (lifestyle) advice. She also wants to monitor Bob's health status and progress. Finally, she needs to double check Bob's physiological data. She has to do this while being under a heavy load due to the amount of patients, causing her to have very little time to spend on Bob.
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167 Alice wants to receive reminders about Bob and be able to check his insulin. She also wants to read up on literature and be able to consult the doctor on advice or information.
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