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Introduction <p>Breast cancer is one of the leading causes of mortality among women worldwide. Telemedicine presents a promising pathway to improve cancer care delivery; however, structured approaches to systematically eliciting and integrating stakeholder requirements remain scarce. This study aimed to conduct a comprehensive needs assessment using requirements engineering principles to inform the design of a telemedicine-based follow-up system for breast cancer patients.</p> Methods <p>An exploratory sequential mixed-methods design was employed, encompassing five stages: requirements elicitation, data collection, data analysis, requirements validation, and use-case development. Data were collected from 41 stakeholders—including healthcare professionals, administrative staff, patients, and caregivers—using semi-structured interviews and focus group discussions. Quantitative data were analyzed descriptively, while qualitative data underwent thematic analysis.</p> Results <p>The analysis identified three key domains of requirements—organizational, system, and stakeholder. Organizational requirements underscored the importance of leadership support, sustainable funding, and comprehensive training. System requirements emphasized security, scalability, interoperability, and user-centered design. Stakeholder needs highlighted privacy protection, accessibility, and effective communication channels.</p> Conclusion <p>Applying a structured, stakeholder-driven requirements engineering approach enabled the identification of organizational, technical, and user needs essential for designing a telemedicine follow-up system for breast cancer. The developed framework provides a replicable model for implementing secure, scalable, and user-centered telemedicine solutions not only in oncology but also across other healthcare domains.</p>

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Requirements engineering–based mixed-methods needs assessment for a telemedicine breast cancer follow-up system

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月16日

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  • Hamideh Asad Allah Khan Vali,
  • Ehsan Nabovati,
  • Asiyeh Olfatbakhsh,
  • Fatemeh Rangraz Jeddi

摘要

Introduction

Breast cancer is one of the leading causes of mortality among women worldwide. Telemedicine presents a promising pathway to improve cancer care delivery; however, structured approaches to systematically eliciting and integrating stakeholder requirements remain scarce. This study aimed to conduct a comprehensive needs assessment using requirements engineering principles to inform the design of a telemedicine-based follow-up system for breast cancer patients.

Methods

An exploratory sequential mixed-methods design was employed, encompassing five stages: requirements elicitation, data collection, data analysis, requirements validation, and use-case development. Data were collected from 41 stakeholders—including healthcare professionals, administrative staff, patients, and caregivers—using semi-structured interviews and focus group discussions. Quantitative data were analyzed descriptively, while qualitative data underwent thematic analysis.

Results

The analysis identified three key domains of requirements—organizational, system, and stakeholder. Organizational requirements underscored the importance of leadership support, sustainable funding, and comprehensive training. System requirements emphasized security, scalability, interoperability, and user-centered design. Stakeholder needs highlighted privacy protection, accessibility, and effective communication channels.

Conclusion

Applying a structured, stakeholder-driven requirements engineering approach enabled the identification of organizational, technical, and user needs essential for designing a telemedicine follow-up system for breast cancer. The developed framework provides a replicable model for implementing secure, scalable, and user-centered telemedicine solutions not only in oncology but also across other healthcare domains.