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Table 1 Detailed matching between requirements, DEDICATE architecture features, expected benefits, and proposed metrics

From: DEDICATE: proposal for a conceptual framework to develop dementia-friendly integrated eCare support

Macro-requirement Specific requirement DEDICATE architecture feature Expected benefit Possible example metrics
Requirements for overcoming deficient technology innovation Adopting a clearly user-driven, choice-giving approach and avoid all technology ‘push’ Build patient’s preferences and memories in early stage of disease that will remain during the entire journey. DEDICATE also envisages the use of existing technology already available to patients/families Improved compliance to the system and long-term use # patients using the system along the whole dementia journey
Time spent (%) using the system without caregiver help
Time spent (%) by the caregiver using the system
Utilising components to support persons with dementia Specifically developed applications are integrated to the system through the middleware to guarantee support
Including elements of telecare and telehealth where needed Existing telehealth and telecare systems are integrated in the architecture
Requirements for overcoming deficient service process innovation Utilising a shared planning and communication record and function across the formal and informal carer team Electronic Health Record, Social Care Record, telehealth/telecare record are all interfaced to the system, and their data are integrated in care coordination plans Improved inclusion of healthcare professionals in the dementia journey and facilitated disease management from a medical perspective # of unscheduled access to the healthcare system
% of healthcare documents integrated in the system
# access to the system by healthcare professionals to review patients’ situation
Utilising care coordination applications to run holistically as a virtual system Care coordination applications are part of the whole system and are supported by the core ICT services run on the service layer
Planning of support in a shared timeline The architecture envisages the co-participation of all actors, from formal to informal carer as well as other stakeholder, which share the same information and plans
Requirements for overcoming deficient business models innovation Supporting stakeholder centric, evidence-based business case modelling The architecture is designed so that all information is shared among stakeholders, and existing systems are integrated and not replicated Improved sustainability and auditability of the services # trials regarding the effectiveness of ICT interventions for dementia care based on the system
% data collected by the system used for effectiveness assessment/quality assessment
Supporting evidence-based decision-making The integration of formal care records and personal applications will allow collecting relevant data needed to track the effectiveness of the system/interventions