CASEPLUS-SimPat: An Intersectoral Web-Based Case Management System for Multimorbid Dementia Patients.

Area of Science:

• Gerontology
• Health Informatics
• Public Health

Background:

• Dementia patients face complex care needs due to cognitive decline and multimorbidity.
• Intersectoral communication and coordination challenges are amplified in dementia patient care transitions.
• Existing healthcare systems struggle with fragmented care for patients with multiple chronic conditions.

Purpose of the Study:

• To develop and evaluate an IT-based service concept for integrated care of multimorbid dementia patients.
• To introduce the web-based case management system CASEPLUS-SimPat for improved intersectoral collaboration.
• To enhance patient data accessibility and information exchange among healthcare professionals.

Main Methods:

• Development of the CASEPLUS-SimPat system using a three-tier architecture and role-based authorization.
• Implementation of a complementary portal for relatives, offering information and e-learning services.
• Pilot testing of the system to assess usability and identify areas for improvement.

Main Results:

• CASEPLUS-SimPat facilitates joint access to patient data and treatment information for healthcare professionals.
• The system integrates relatives into the care process through dedicated information and e-learning resources.
• Pilot testing indicated good usability, with suggestions for enhancing information retrieval through keywords.

Conclusions:

• The CASEPLUS-SimPat system offers a promising direction for improving intersectoral care coordination for dementia patients.
• Further integration of healthcare professionals and facilities, alongside real-life testing, is planned.
• Enhancing information accessibility is key to maximizing the system's usability and effectiveness in integrated care settings.