Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Oct 10, 2020
Date Accepted: Dec 17, 2020
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Maturity of a semi-automated classification system to produce standard service directories in Social and Health Care
ABSTRACT
Background:
DESDE-LTC is an international classification system that allows a standardised coding and comparisons between different territories and care sectors, such as health and social care in defined geographic areas. We adapted it into a computer tool (DESDE-AND) for compiling a directory of care services in Andalucia, Spain.
Objective:
A system for semi-automated coding of service provision, has been co-designed.
Methods:
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 (feasibility and practicability), validity, adoption (Adoption Impact Ladder -AIL) and overall degree of maturity (Implementation Madurity 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).
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. Clinical Trial: Andalusian Regional Government: call for biomedical and health sciences research (BOJA 77), Ref. PI-0075
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