SPX Colloquium – Communication Sessions C2
At the SPX International Colloquium 2025, we are pleased to present the communication panel:
Digital transformation to improve patient experience within continuum of care – 3 questions,
During our previous conferences, we had the opportunity to present various technological developments that have a positive impact on the patient experience. This session will address three questions:
1- How to integrate technology into healthcare and capture the patient experience dimension.
2- Are we all ready for this integration?
3- Can technology replace or supplement humans?
This session will showcase how three institutions from France and Spain have incorporated the patient perspective into their practices and projects.
This communication session will be chaired by xxx.
The following communications will be presented during this session:
1
IA et intelligence collective : intégrer l’expérience patient et soignant dans l’adoption des technologies en santé
Bastien Tavner
CIUS (France)
Language: French
Project’s description:
IA et intelligence collective : intégrer l’expérience patient et soignant dans l’adoption des technologies en santé
L’intégration de l’intelligence artificielle dans les systèmes de santé est souvent présentée comme une réponse aux enjeux d’efficacité, de prédictibilité et de rationalisation des parcours. Mais ces promesses, formulées dans des logiques d’innovation descendante, peinent à se traduire en usages concrets au sein des établissements. L’adhésion des professionnels et la confiance des patients restent des conditions majeures de réussite, trop souvent négligées. Comment, dès lors, penser l’IA non comme une fin en soi, mais comme un levier d’augmentation de l’intelligence collective, construite dans le temps par les humains qui composent le système de santé ?
Nous proposerons dans cette intervention un retour d’expérience sur une étude menée auprès du SAMU 13, dans un contexte d’exploration des cas d’usage potentiels de l’IA pour les appels d’urgence. Ce terrain, à la fois ultra-contraint, pluriprofessionnel et empreint d’une forte culture métier, nous a permis de mettre en évidence un paradoxe : les innovations techniques y sont accueillies avec intérêt mais aussi prudence, car elles viennent s’inscrire dans une chaîne de traitement déjà extrêmement performante et optimisée par l’expérience accumulée.
Notre démarche s’est appuyée sur une approche design croisant entretiens, observations de terrain, cartographie des parcours, identification des tensions et projections collectives. Elle visait à faire émerger les conditions concrètes d’une adoption pertinente et non anxiogène des technologies d’IA, en intégrant à la fois les savoirs professionnels des soignants et les attentes des usagers.
Les enseignements majeurs de cette démarche sont les suivants :
– L’IA ne remplace pas une organisation, elle s’y insère. Et pour cela, elle doit être interrogée en lien avec les usages réels et les marges de manœuvre existantes.
– L’expérience patient est ici élargie à une expérience “système” : les attentes portent moins sur la technologie que sur la garantie d’un traitement juste, rapide et humain.
– L’expérience soignante est un savoir collectif précieux : les routines, les intuitions, les pratiques de contournement sont autant de richesses à considérer avant toute implémentation technologique.
– Enfin, l’adoption ne peut se résumer à une formation descendante : elle suppose un processus de maturation partagée, avec des phases d’expérimentation, de doute, d’ajustement.
Nous conclurons sur les conditions de succès d’une telle approche dans des projets d’implémentation plus larges :
– La nécessité d’ouvrir un espace de dialogue interdisciplinaire dès la phase amont du projet ;
– L’enjeu de mesurer autrement les impacts d’une technologie, non seulement en termes de performance mais aussi d’acceptabilité, de confiance et de qualité relationnelle ;
– L’intérêt d’intégrer le design comme méthode de médiation entre les acteurs techniques, les décideurs et les usagers.
Ce retour d’expérience met en lumière une conviction forte : l’avenir de l’IA en santé dépendra moins de ses prouesses algorithmiques que de notre capacité à l’intégrer dans des dynamiques humaines, apprenantes et collaboratives. Et pour cela, il faut faire de l’expérience des patients et des soignants non pas une donnée d’entrée, mais un levier stratégique à part entière.
2
Incorporation Patient Perspectives into Technology Readiness Levels; A Delphy study
Marta Noguera
Badalona Serveis Assistencials (Spain)
Language: English
Project’s description:
This study aimed to integrate patient perspectives into the Technology Readiness Levels (TRLs) framework by developing a patient-centered dimension. Using a Delphi methodology, the study sought to establish consensus on practical approaches for incorporating patient insights, enhancing usability, acceptance and addressing real-world challenges in healthcare technology development and evaluationDesign:
This study utilized a Delphi methodology, employing iterative rounds of expert surveys to gather and refine consensus on patient inclusion within TRLs.
Setting:
The study engaged a geographically diverse panel of Spanish-speaking experts, representing diverse profiles across healthcare, technology, public health, ethics, and patient advocacy.
Participants:
Twenty-four experts were invited, and 20 (83.33%) completed the study. Participants included patient advocates, clinicians, public health professionals, technology specialists, and ethicists. Selection criteria emphasized expertise in patient-centered approaches and healthcare innovation.
Primary and Secondary Outcome Measures:
The primary outcome was to achieve consensus on a set of recommendations for a Patient TRL framework, integrating patient perspectives into each stage of the Technology Readiness Levels (TRLs) framework. Consensus was defined as 75% agreement, operationalized as a mean score of ≥4.75 on a 6-point Likert scale. Secondary outcomes included the development of a new dimension within the TRLs, providing specific recommendations for enhancing patient participation in healthcare innovation technologies.
Results:
The Delphi process finally included two rounds, achieving a final 83.33% participation rate. In the first round, the median scores for patient-related TRL statements ranged from 5.0 to 6.0, with outliers noted primarily in early TRLs (TRL2: Idea). Consensus was achieved for all TRLs by the second round, with refined descriptions improving clarity and inclusiveness of PULSO. Key refinements included explicit roles for patients in usability testing, co-creation, and clinical validation, alongside mechanisms for ongoing feedback in later TRLs.
Conclusions:
To the best of our knowledge, PULSO is the first framework to incorporate patient perspectives into the TRLs framework, highlighting their critical role in ensuring the usability, acceptance, and success of healthcare technologies. The proposed patient-centered TRLs provide a structured pathway for integrating patient insights across all stages of technology development, fostering engagement and improving real-world outcomes. Future research should focus on expanding the framework to diverse geographic and cultural contexts to validate and generalize its applicability.
3
Let’s do it together! TransiTEA-360 – Empowering adolescent ASD patients to face transitions with a 360 video-based RV support tool.
Antoni Grau
Clariane Group (Spain)
Language: English
Project’s description:
TransiTEA-360 is a co-creative research project that is being conducted at Badalona Serveis Assistencials (public health services) in collaboration with educational and mental health professionals, patients and their families, which aims to empower adolescents with autism spectrum disorder (ASD) to face common transitions in the psychosocial development, particularly regarding the educational and community living domains, using a 360-degree video based virtual reality (360 video-based RV) support tool.
For an autistic teen any disruption in their structured daily life or social interaction conditions might be a strong difficulty. Transitions such as traveling alone on public transport, changing into a new school, etc. may arouse anticipatory anxiety, fear or uneasy feelings, which might be reduced though supported training in simulated situations using 360 video-based RV.
To develop this 360 video-based RV support tool, we are applying a participatory and co-creative methodology -with professionals, patients and their parents- throughout the project: from the design to the clinical implementation of the digital tool.
This research not only aims to listen at the ideas and arise necessities of those young patients and their families but going beyond by co-creating together the tool itself.
Participation of all agents involved, specially taking into account their patient experience, contributes to a deeper understanding of the issue by applying a coherent approach, and allows to achieve greater reliability of the tool.
The research process is still ongoing under the leadership of a coordinating group which is composed of mental health and patient experience professionals, and representatives of a local ASD family association.
Stakeholders’ experience has been arised and integrated for prototyping the tool from the beginning: a survey, several focus groups (with patients, parents and mental health professionals), and back and forward prototyping moments have been carried out along the research process.
Co-creative methodology and patient-centered participation is demonstrating solid results in the development of the clinical tool and high satisfaction of all the people involved.
Looking for another panel about Patient Experience?
For the full overview of sessions, topics and speakers, we invite you to explore the complete SPX International Colloquium 2025 programme. Discover the diversity of perspectives and initiatives that will be shared in Luxembourg from 6 to 8 October.
