JMIR Publications

ABSTRACT

Background:

High quality post-hospital care is crucial for positive patient outcomes following hospital discharge. Despite a preference for home-based care, many patients are admitted to post-acute care facilities. Our study explores the use of technology to support patients transitioning from hospital to home.

Objective:

To develop a patient-centered framework using design principles for technology aiding patients in transitioning from the hospital to home.

Methods:

A vignette-based, mixed-method survey was conducted with 116 patients recently discharged from the hospital. We employed the Technology Acceptance Model (TAM) and included both qualitative and quantitative data collection. Thematic analysis was performed to identify key design principles.

Results:

Key findings indicate that patients value technology integrating seamlessly into their care experience, supporting rather than replacing human connection, and minimizing additional burdens. Concerns about cost, data privacy, and the need for transparent communication were also highlighted, but technical aspects, such as battery life and modality (e.g., smartphone versus desktop computer) were of lesser importance in patient willingness to engage with technology-based hospital discharge support.

Conclusions:

Our study identified three main categories of design principles: User Experience and Accessibility, Cost and Privacy, and Communication and Transparency. These principles can guide the development and implementation of digital tools to enhance patient transitions from hospital to home, ensuring they are effective and embraced by patients.