Odile-Florence Giger

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Dr.
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Giger
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Odile-Florence
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odile-florence.giger@unisg.ch

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    Item type:Publication,
    A care quality dashboard for general practitioners managing patients with diabetes mellitus type 2: user-centered design and prototype evaluation
    (Springer Science and Business Media LLC, 2026-05-09)
    Ackermann, Lola Jo
    ;
    Odile-Florence Giger  
    ;
    Principe, Marinja
    ;
    Brändle, Michael
    ;
    Jovanova, Mia
    Background Diabetes mellitus type 2 (T2D) is a growing burden in Switzerland, where general practitioners (GPs) face increasing workload. To evaluate the quality of T2D care, the Swiss Society of Endocrinology and Diabetology (SGED) developed the SGED score to help GPs overview aggregated patient parameters at the practice level. However, the practical use of the SGED score is hampered by paper-based workflows and fragmented documentation. Currently, no dashboard exists to specifically visualize the SGED score, which overviews aggregated population parameters such as HbA1c or blood pressure. To address this gap, this study examined: (1) what functional requirements healthcare professionals consider essential for such a potential SGED dashboard, and (2) how do healthcare professionals evaluate the usability and clinical relevance of an iteratively developed dashboard prototype. Methods We employed an iterative, user-centered three-step approach involving 10 semi-structured interviews with 14 Swiss T2D healthcare professionals. Step 1 involved defining the project scope, identifying predefined functional requirements, and developing an initial SGED score dashboard prototype. Step 2 collected user-generated requirements and prioritized all requirements using the “Must Have”, “Should Have”, “Could Have”, “Won’t Have” (MoSCoW) method. In step 3, the high-fidelity Figma dashboard prototype was iteratively refined based on the requirements and interviewee feedback. Results Key functional requirements of the digital SGED score included reminder and alert functions for missing or overdue SGED-relevant assessments, color-coded critical values such as low nephropathy screening rates, demographic overviews, trend analyses of SGED indicators at practice level, benchmarking within practice networks, and exportable reports. Additional needs emerged for patient-level views, integrated checklists, inclusion of comorbidities, and personal or practice-specific goal-setting features. Iterative refinements based on user feedback improved clarity, usability, and visual appeal. Some participants highlighted the dashboard’s intuitive design, clear and diverse visualizations, and benchmarking functionalities, describing it as both engaging and efficient. Others raised concerns about limited suitability for daily clinical workflows, potential integration challenges with existing systems, and the need for interactive, patient-centered features to support routine care. Conclusion The proposed SGED score dashboard could enhance T2D care through features like population overviews, long-term visualizations, and anonymized benchmarking, meaning the ability to compare a practice’s SGED performance with those of other practices. Successful clinical adoption will heavily depend on interoperability and seamless integration into existing workflows. The identified requirements provide a foundation for future digital T2D management systems.
    Type:journal article
    Journal:BMC Medical Informatics and Decision Making
    DOI:10.1186/s12911-026-03492-3
    URI:https://alexandria.unisg.ch/handle/20.500.14171/126073
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    Item type:Publication,
    Digital Quality Monitoring for Type 2 Diabetes in Swiss Primary Care: Qualitative Interview Study
    (JMIR Publications Inc., 2026-05-12)
    Odile-Florence Giger  
    ;
    Ackermann, Lola Jo
    ;
    Principe, Marinja
    ;
    Meier, Simon
    ;
    Elgar Fleisch  
    Background: General practitioners (GPs) manage most type 2 diabetes (T2D) cases worldwide but face increasing workloads. To support guideline-based T2D care, the Swiss Society of Endocrinology and Diabetology (SSED) developed a quality monitoring tool for GPs to track and document patient clinical outcomes, such as glycated hemoglobin testing, blood pressure measurement, and diabetes-related complications in primary care. By aggregating these elements, the SSED score provides a structured way to assess adherence to recommended standards of diabetes care. Although this approach shows promise for improving health outcomes, the score is currently available in paper format and creates an additional administrative burden for physicians. Objective: This study examined challenges in T2D management in Swiss primary care, assessed limitations of the current SSED quality score, and identified strategies to enable the potential digital implementation and wider adoption of a digital SSED quality score in routine practice. Methods: A total of 38 qualitative interviews were conducted with 39 participants, representing 4 stakeholder groups relevant to digital T2D care: health care professionals (n=12), individuals with T2D (n=12), software developers (n=10), and health insurer representatives (n=5). Data were analyzed using thematic analysis. Results: Participants highlighted persistent challenges in T2D management, including time pressure for health care professionals, fragmented care, and a lack of personalized support for individuals with T2D. Barriers to digital quality monitoring included poor integration with GP systems, misaligned incentives, and limited relevance to multimorbidity. Suggested facilitators included embedding digital tools, such as a digital SSED score, into existing workflows, optimizing task shifting for GPs, integrating patient-centered features, and improving data sharing. Conclusions: A digital SSED score could support GPs by integrating patient-entered data, generating automated alerts, and enabling pharmacy-based follow-up. Successful adoption is likely to depend on GP workflow integration, system interoperability, and aligned incentives. Involving stakeholders early is essential to ensure that new digital tools meet the needs of both individuals with T2D and GPs.
    Type:journal article
    Journal:Journal of Medical Internet Research
    Volume:28
    DOI:10.2196/82960
    URI:https://alexandria.unisg.ch/handle/20.500.14171/126074
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    A Care Quality Dashboard for General Practitioners Managing Patients with Diabetes Mellitus Type 2: User- Centered Design and Evaluation of a Prototype
    (Springer Science and Business Media LLC, 2026-01-12)
    Lola Jo Ackermann
    ;
    Odile-Florence Giger  
    ;
    Marinja Prinicpe
    ;
    Brändle, Michael
    ;
    Mia Jovanova
    Background Diabetes mellitus type 2 (T2D) is a growing burden in Switzerland, where general practitioners face increasing workload. To evaluate the quality of T2D care, the Swiss Society of Endocrinology and Diabetology (SGED) developed the SGED score. However, its practical use is hampered by paper-based workflows and fragmented documentation. Currently, there is no dashboard specifically for the visualization of the SGED score, which overviews aggregated population parameters such as HbA1c or blood pressure. To address this gap, this study derived functional requirements for a dashboard and developed a high-fidelity prototype through an iterative, user-centered design process, in collaboration with healthcare professionals. This approach explores how such a dashboard needs to align with clinical needs to enhance usability and promote adoption in routine T2D management. Methods An iterative, user-centered three-step approach was employed, involving 14 semi-structured interviews with Swiss T2D healthcare professionals. Step 1 involved defining the project scope and identifying functional requirements. Step 2 collected more requirements and prioritized all of them using the “Must Have”, “Should Have”, “Could Have”, “Won’t Have” (MoSCoW) method. In step 3, a high-fidelity Figma dashboard prototype was developed and iteratively refined based on the requirements and user feedback. Results Key functional requirements included reminder and alert functions, color-coded critical values, demographic overviews, trend analyses, benchmarking within networks, and exportable reports. Additional needs emerged for patient-level views, integrated checklists, inclusion of comorbidities, and personal or practice-specific goal-setting features. Iterative refinements based on user feedback improved clarity, usability, and visual appeal. Some participants highlighted the dashboard’s intuitive design, clear and diverse visualizations, and benchmarking functionalities, describing it as both engaging and efficient. Others raised concerns about limited suitability for daily clinical workflows, potential integration challenges with existing systems, and the need for interactive, patient-centered features to support routine care. Conclusion The proposed dashboard could enhance T2D care through features like population overviews, long-term visualizations, and anonymized benchmarking. Successful clinical adoption will heavily depend on interoperability and seamless integration into existing workflows. The identified requirements provide a foundation for future digital T2D management systems.
    Type:working paper
    Journal:Research Square
    DOI:10.21203/rs.3.rs-8347867/v1
    URI:https://www.alexandria.unisg.ch/handle/20.500.14171/124908
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    Item type:Publication,
    Advancing Primary Care for Type-2 Diabetes Management: Stakeholder Perspectives on Digital Quality Monitoring in Switzerland: A Qualitative Interview Study
    (2025-08-25)
    Odile-Florence Giger  
    ;
    Lola Jo Ackermann
    ;
    Principe, Marinja
    ;
    Simon Meier
    ;
    Elgar Fleisch  
    Background: Primary care physicians manage most type 2 diabetes (T2D) cases worldwide but face increasing workload pressures and limited infrastructure. To support consistent, guideline-based care, the Swiss Society of Endocrinology and Dia-betology (SSED) developed a quality monitoring tool known as the SSED score. The score evaluates whether essential care processes have been completed for each individual with T2D. These processes include HbA1c testing, blood pres-sure measurement, and screening for diabetes-related complications. By aggre-gating these elements, the SSED score provides a structured way to assess ad-herence to recommended standards of diabetes care. Although this approach shows promise for improving health outcomes, the score is currently mostly available in paper format and creates additional administrative burden for phy-sicians. Objective: This study explored challenges in T2D management in Swiss primary care, as-sessed the limitations of the SSED quality score, and identified strategies to ena-ble its adoption in routine practice. Methods: We conducted 38 semi-structured interviews following the COREQ guidelines with key stakeholders involved in T2D care in Switzerland: 12 healthcare pro-fessionals, 12 individuals with T2D, five health insurers, and nine healthcare software developers. Data were analyzed using thematic analysis. Results: Participants highlighted persistent challenges in T2D management, including time pressure for health care professionals, fragmented care, and lack of per-sonalized support. Barriers to digital quality monitoring included poor integra-tion with GP systems, misaligned incentives, and limited relevance to multi-morbidity. Suggested facilitators included embedding tools into workflows, en-abling task shifting for physicians, integrating patient-centered features and improving data sharing. Conclusions: A digital SSED score could support GPs by integrating patient-entered data, generating automated alerts, and enabling pharmacy-based follow-up. Success-ful adoption depends on GP workflow integration, system interoperability, and aligned incentives that promote engagement for individuals with T2D. Involv-ing stakeholders early is essential to ensure that new digital tools meet the needs of both individuals with T2D and GPs.
    Type:working paper
    Journal:JMIR Preprints
    URL:https://preprints.jmir.org/preprint/82960
    DOI:10.2196/preprints.82960
    URI:https://www.alexandria.unisg.ch/handle/20.500.14171/124742