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Value-Based Framework for Evaluating Pre-Commercial Procurement: Case Study of Value-Based Key Performance

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This study identified value-based key performance indicators (VB-KPIs) for digital health solutions in rural areas. These indicators will guide the development of the Crane project

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early health technology assessmentevaluation of pre-commercial procurement solutionsinternet-based self-management system for treating chronic diseasespre-commercial procurement of internet and digital-based solutions in health caretreatment of chronic patientsvalue-based key performance indicators in health carevalue-based procurement

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Area of Science:

  • Digital Health
  • Health Technology Assessment
  • Healthcare Management

Background:

  • Aging populations and limited rural healthcare access necessitate innovative solutions.
  • The Horizon 2020 Crane project aims to procure digital self-management systems for chronic disease care.
  • Three European regions (Sweden, Spain, Norway) participate in the Crane project.

Purpose of the Study:

  • To identify key design criteria and value-based key performance indicators (VB-KPIs).
  • To support the development and evaluation of digital healthcare solutions for rural chronic disease management.
  • To inform the Crane Pre-Commercial Procurement (PCP) process.

Main Methods:

  • A 3-iteration process involving stakeholder analyses and workshops.
  • Utilized the Step Up health technology assessment tool.
  • Identified and prioritized VB-KPIs through user needs investigation and regional discussions.

Main Results:

  • Identified 35 VB-KPIs across user, employee, clinical, organizational, and economic domains.
  • Highlighted regional differences in user priorities (e.g., privacy vs. negotiation).
  • Confirmed shared values: empowerment, flexibility, preventative care, and quality of life.

Conclusions:

  • Prioritized VB-KPIs provide a foundation for the Crane digital PCP.
  • Regional socioeconomic and cultural differences may require localized adaptations.
  • The study supports evidence-based development of digital health solutions for underserved rural populations.