TY - JOUR
T1 - A semiautomated classification system for producing service directories in social and health care (DESDE-AND)
T2 - Maturity assessment study
AU - Romero-Lopez-Alberca, Cristina
AU - Alonso-Trujillo, Federico
AU - Almenara-Abellan, Jose Luis
AU - Salinas-Perez, Jose A.
AU - Gutierrez-Colosia, Mencia R.
AU - Gonzalez-Caballero, Juan Luis
AU - Pulido, Sandra Pinzon
AU - Salvador-Carulla, Luis
N1 - Funding Information:
We acknowledge the Health Information Systems Group (SICA-CTS-553) (University of Cádiz), TIC Department of Universidad Loyola Andalucía (Sevilla), and Guadaltech Soluciones Tecnológicas (Sevilla). We specially thank the contribution of the late I Fernandez de Bobadilla to this study. Other members of the DESDE-AND Group are A Rabadán, A Mora, A García-Lupato, C Bejar Reyes, C García-Alonso, C García Pérez, C López Mata, D Jiménez-Calvo, E Motrico, FJ Delgado Leal, F Romero-Alfaro, FJ Ortiz, I González Seco, I Carmona, J Almenara, JA García-Morales, JA Galera, JD Soto-Alba, J Limón, J Álvarez, M Poole, M Martínez-Domene, MC González-Montero, MF Raposo Triano, MJ Abellán, M Rabadán, P Recio, P Sánchez Villegas, R Vaquero López, R Vera Gálvez, R López-Medel, and S Rodríguez Gómez. We also acknowledge Assistant Professor T. Chen (Canberra University, Australia) for his advice and feedback on co-design and co-creation. The DESDE-AND project has been funded by the Andalusian Regional Government: call for biomedical and health sciences research (BOJA 77), Ref. PI-0075: “DESDE AND: Adaptación, validación y pilotaje del instrumento DESDE-LTC para la clasificación estandarizada de servicios de atención sociosanitaria de la Comunidad Autónoma de Andalucía”.
PY - 2021/3
Y1 - 2021/3
N2 - Background: DESDE-LTC (Description and Evaluation of Services and DirectoriEs for Long-Term Care) is an international classification system that allows standardized coding and comparisons between different territories and care sectors, such as health and social care, in defined geographic areas. We adapted DESDE-LTC into a computer tool (DESDE-AND) for compiling a directory of care services in Andalucia, Spain. Objective: The aim of this study was to evaluate the maturity of DESDE-AND. A secondary objective of this study is to show the practicality of a new combined set of standard evaluation tools for measuring the maturity of health technology products. Methods: A system for semiautomated coding of service provision has been co-designed. A panel of 23 domain experts and a group of 68 end users participated in its maturity assessment that included its technology readiness level (TRL), usability, validity, adoption (Adoption Impact Ladder [AIL]), and overall degree of maturity [implementation maturity model [IMM]). We piloted the prototype in an urban environment (Seville, Spain). Results: The prototype was demonstrated in an operational environment (TRL 7). Sixty-eight different care services were coded, generating fact sheets for each service and its geolocation map. The observed agreement was 90%, with moderate reliability. The tool was partially adopted by the regional government of Andalucia (Spain), reaching a level 5 in adoption (AIL) and a level 4 in maturity (IMM) and is ready for full implementation. Conclusions: DESDE-AND is a usable and manageable system for coding and compiling service directories and it can be used as a core module of decision support systems to guide planning in complex cross-sectoral areas such as combined social and health care.
AB - Background: DESDE-LTC (Description and Evaluation of Services and DirectoriEs for Long-Term Care) is an international classification system that allows standardized coding and comparisons between different territories and care sectors, such as health and social care, in defined geographic areas. We adapted DESDE-LTC into a computer tool (DESDE-AND) for compiling a directory of care services in Andalucia, Spain. Objective: The aim of this study was to evaluate the maturity of DESDE-AND. A secondary objective of this study is to show the practicality of a new combined set of standard evaluation tools for measuring the maturity of health technology products. Methods: A system for semiautomated coding of service provision has been co-designed. A panel of 23 domain experts and a group of 68 end users participated in its maturity assessment that included its technology readiness level (TRL), usability, validity, adoption (Adoption Impact Ladder [AIL]), and overall degree of maturity [implementation maturity model [IMM]). We piloted the prototype in an urban environment (Seville, Spain). Results: The prototype was demonstrated in an operational environment (TRL 7). Sixty-eight different care services were coded, generating fact sheets for each service and its geolocation map. The observed agreement was 90%, with moderate reliability. The tool was partially adopted by the regional government of Andalucia (Spain), reaching a level 5 in adoption (AIL) and a level 4 in maturity (IMM) and is ready for full implementation. Conclusions: DESDE-AND is a usable and manageable system for coding and compiling service directories and it can be used as a core module of decision support systems to guide planning in complex cross-sectoral areas such as combined social and health care.
KW - Decision support system
KW - DESDE-AND
KW - DESDE-LTC
KW - Impact analysis
KW - Maturity
KW - Service directories
KW - Services coding
UR - http://www.scopus.com/inward/record.url?scp=85102916311&partnerID=8YFLogxK
U2 - 10.2196/24930
DO - 10.2196/24930
M3 - Article
C2 - 33720035
AN - SCOPUS:85102916311
SN - 1439-4456
VL - 23
SP - 1
EP - 15
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
IS - 3
M1 - e24930
ER -