On the requirements for cooperative assistance in the medical domain

In this paper we introduce an extension of the PARADIGMA (PAR- ticipative Approach to DIsease Global Management) approach to take into ac- count the home healthcare assistance service. PARADIGMA defines and dis- seminates a common methodology and optimized protocols (Clinical Pathways) to support service functions directed to patients and individuals on matters like prevention, post-hospitalization support and awareness. Specifically, PARADI- GMA will provide a platform of information services - user oriented and opti- mized against social, cultural and technological constraints - supporting the Health Care Global System in a continuous improvement process.