Digitally Supported Person-centered Care Systems

The primary outcome is the quality of the patient summary and follow-up plan

Participants are asked to create a summary as preparation for a care planning meeting with colleagues, using the information available in the digital tool to write 1) a Comprehensive summary of the patient's situation and 2. A care plan.

Quality of summaries and care plans will be measured by Microsoft Copilot. An expert group of three clinicians will create gold-standard summaries. These will be converted into a list of clear, mutually exclusive items using standardized rules. Copilot will be prompted to identify whether each item is present in participant responses. The item list will be validated by comparing scoring consistency (Kappa statistics) between researchers and Copilot, aiming for ≥0.7 agreement with researchers and ≥0.9 between Copilot runs. Final scores will reflect the number of items included per response.

Time from start of case to delivery of answer as measured by participant reported start and stop time.

The usability of the intervention to do the work needed for each patient will be measured with the System Usability Scale which contains ten items scored from one (strongly disagree) to five (strongly agree) that are transformed to a 0 to 100 scale and translated into a curved grading scale from A-F

To compare how the different interventions helped to solve the task described under primary outcome, the following questions will be asked:

On a scale of 1 to 5 (1 Poor 2 Fair 3 Good 4 Very good 5 Excellent), how did the information you had access to support you to find information about

• Current medical status?
• Social or personal circumstances that contribute to the current status?
• What is important to the patient?
• What should be followed up further?
• Who should be involved in the follow-up?

To compare the experience with the digital tool used to conduct the tasks, the following questions will be used:

On a scale of 1 to 5 (1 Poor 2 Fair 3 Good 4 Very good 5 Excellent)

• What do you think about the tool overall?
• How good was the support in the tool to find the information you needed?
• How useful was the training in using the tool?
• How did the tool work compared to tools you use daily for similar tasks?
• How would such a tool fit into your daily work?

Would you recommend the tool to colleagues? (Yes Unsure No)

To describe the experience with the digital solution used, the following question will be used Did you have any technical problems in completing this task? No, none at all Some, but it was minimal Yes, quite extensive.

To describe whether the participants had experiences with the types of patients, the following question will be asked:

How often do you work with patients who have as complex and long-term needs as this patient? (Weekly, Monthly, Semi-annually or less frequently)

To describe the time used on various activities in the digital tool, the following variables will be automatically recorded in the tool:

• Time spent in each main area: The main areas are the main pages in the side menu, like information about the patient, the list of clinical notes and the medication list.
• Inactivity >10 seconds: The time the participant reads/writes.
• Number of unique clinical notes that are opened.
• Number of free text searches conducted.