Accepted for/Published in: JMIR Formative Research
Date Submitted: Jan 21, 2025
Date Accepted: Jun 14, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Value-based framework for evaluating pre-comercial procurement
ABSTRACT
Background:
In the industrial world, more than 19,5% of the population in rural areas are 65 years of age or older. Only 20% of chronic patients can be guaranteed adequate healthcare services in these areas. The demographic changes are expected to stress the healthcare systems and urge the need for innovations.
Objective:
This study aims to explore and identify important design criteria for satisfying stakeholder needs in the Horizon 2020 project, CRANE. CRANE is an internet and digital-based healthcare pre-commercial procurement (PCP) project, and it aims to develop an integrated and flexible self-management system for treating chronic patients at home, thus improving the life quality of the patients and optimizing healthcare resources. Participating partners are region Västerbotten in Sweden, Extremadura in Spain, and Agder in Norway.
Methods:
Value-Based Key Performance Indicators (KPIs) were developed to predict important positive and negative effects of PCP solutions. The method used to identify needs and KPIs was based on an early Health Technology Assessment, five workshops, and subsequent discussions among representatives from the three participating regions. The needs and KPIs were based on the positive and negative effects identified from these workshops and discussions and divided into four domains. These KPIs will be used to evaluate incoming designs and bidders' solutions throughout the PCP process.
Results:
35 KPIs were identified and recommended for evaluation and prioritizing of PCP solutions throughout the PCP process. Nine KPIs related to the patients, nine to the health care workers, four to the clinical effects, six to the health care organizations, and eight to the socio-economic aspects. The recommended KPIs constitute a good basis for evaluating digital PCP projects in healthcare. Still, minor adjustments need to be done tailoring the KPIs to the specifics of a given PCP project.
Conclusions:
We believe that the recommended KPIs may be a good basis for evaluating digital PCP projects within health care in general, but adjustments are needed to fit the specific aims of the given PCP project. Clinical Trial: No trial registrations
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.