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 |