Securing integrated care for multi-morbid patients with dementia using an IT-based service concept


Bianca Steiner

Project partners


The collaborative project SimPat is subsidized by the Federal Ministry of Education and Research (BMBF).


People with dementia often suffer from a range of diseases (multi-morbidity). In order to achieve best patient-centred care these patients need to be provided with numerous services of different sectors (medical facilities) of healthcare such as hospitals, medical practices or care facilities. A major problem, amongst others, is that these patients are neither able to comment on their general states of health nor on more specific issues, for example medication.

For ideal therapy and health care of patients with dementia an integration between all stakeholders being involved in the patient-centred care shall be achieved as part of the collaborative research project SimPat. For this purpose the aim of the project is to develop, implement and evaluate a case management system for multi-morbid patients with dementia. By using information and communication technologies, dementia patients, nursing relatives, caregivers and physicians shall be interlinked. That means relevant information for the care process shall be supplied in a suitable manner to all stakeholders involved in patient-centred care.

The overall aim of SimPat is to make a contribution to increasing the effectiveness and quality of health care as wells as the patients’ and nursing relatives’ quality of life.


Approximately 3 years
November 1st 2015 - April 30th 2019



Publications in Journals
[1], , , , , , , . CASEPLUS-SimPat: An Intersectoral Web-Based Case Management System for Multimorbid Dementia Patients. J Med Syst. 2020;44(63):e39-e48. doi: [BibTeX]
Publications in Proceedings and as Book Sections
[2], , , , . Demenz digital - Chancen Digitalisierung und Demenz. Chapter in Horneber M, Püllen R, Hübner J, eds. Das demenzsensible Krankenhaus: Grundlagen und Praxis einer patientenorientierten Betreuung und Versorgung. Stuttgart: W. Kohlhammer; 2019:376–386. [BibTeX]
[1], , , , , . Information and Communication Gaps in Intersectoral Healthcare Processes for Dementia Patients. In: Gundlapalli AV, Jaulent MC, Zhao D, eds. MEDINFO 2017: Precision Healthcare Through Informatics. Proceedings of the 16th World Congress on Medical and Health Informatics. 2017;245:788–792. doi: [BibTeX]
[2], , , , , . CASEPLUS-SimPat: Digitales Fallmanagement für die Versorgung multimorbider Patienten mit Demenz. In: Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. 63. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e.V. (GMDS). Osnabrück, 02.-06.09.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. (Abstract). doi: [BibTeX]
[1], , , , , , , . Digitalisierung für Angehörige: Das Projekt SimPat zeigt wie es funktionieren kann. In: Deutsche Alzheimer Gesellschaft e.V. Selbsthilfe Demenz. 10. Kongress der Deutschen Alzheimer Gesellschaft. Weimar, 18.-20.10.2018. 2018. (Abstract) [BibTeX]

Additional Information

Additional information about the project, the project partners and latest news can be found on the SimPat website.