Effectiveness and Organizational Conditions of Effectiveness of Telemedicine in Establishments Providing Care for the Dependent Elderly
- Conditions
- Health Services for the Aged
- Interventions
- Procedure: Evaluation of disease and follow-up
- Registration Number
- NCT03486977
- Lead Sponsor
- University Hospital, Bordeaux
- Brief Summary
Study of interest of Telemedicine in establishments providing care for the dependent elderly (EHPAD in french) is a strategy for improving the course of care of residents, including the number not programmed hospitalizations, and a multidimensional analysis of the conditions of effectiveness of telemedicine will identify the keys to optimize its use.
- Detailed Description
The project combines quantitative and qualitative analyses :
1. Quantitative study
Study of comparative prospective cohort clustered in two parallel groups:
Group 'Telemedicine': establishments providing care for the dependent elderly (EHPAD in french) equipped for telemedicine (teleconsultation, casualty) as part of the regional project of the Aquitaine Regional Agency of Heath telemedicine device deployment.
Control group: Defined and equipped for telemedicine EHPAD after matching on the number of residents, the GMP (average weighted GIR : "Groupes Iso Ressources" = score to reflects the average level of dependency of residents of a residential care facility for the elderly), the PMP (weighted average PATHOS = an evaluation system set up by the National Union of Clinical Gerontology and the Medical Service of the National Fund for Health Insurance for Salaried Workers), the distance to a hospital with an emergency shelter service.
The rate of unscheduled hospitalizations will be collected during follow-up visits in clinical departments of the healthcare of the Gironde (french department) by a research staff.
2 Qualitative study In the Group of nursing homes with telemedicine, said group "Telemedicine", will be identified four long-term care facilities, selected according to their degree of use of telemedicine (ratio number of teleconsultation per month / number of beds) (EHPAD 2 strong users, 2 nursing homes) low users) within these four long-term care facilities will be carried out observations of field and in-depth interviews with professionals, managers and attending physicians.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 373
Quantitative research:
- All residents of nursing home men and women 65 years of age and more and likely to be eligible for a teleconsultation or a casualty because achieved one of the identified chronic pathologies as a reason for teleconsultation, will be included in both groups of long-term care
- Medical professionals working in the nursing home agreeing to answer the specifics questionnaires
Qualitative study:
- Doctors, physicians and coordinators nurses of Establishments Providing Care for the Dependent Elderly, nurses, orderly, psychologists, directors of Establishments
- Having a professional activity in nursing homes selected
- Having given their consent to participate in the study
- Residents of long-term care facilities (quantitative study) Resident (or guardian/person) who expressed his opposition to participate in the study or not likely to be eligible for a teleconsultation or casualty Establishments Providing Care for the Dependent Elderly (qualitative) professionals
- Professional who expressed his opposition to participate in the study
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Establishments with telemedicine system Evaluation of disease and follow-up Establishments equipped for telemedicine (teleconsultation, casualty) as part of the regional project of the Aquitaine regional program telemedicine device deployment. Establishments without telemedicine system Evaluation of disease and follow-up Defined and equipped for telemedicine EHPAD after mating on the number of residents, the GMP (average weighted GIR), the PMP (weighted average PATHOS), the distance to a hospital with an emergency shelter service. The rate of unscheduled hospitalizations will be collected during follow-up visits in clinical departments of the healthcare of the Gironde by a research staff
- Primary Outcome Measures
Name Time Method Number of hospitalization not programmed residents on Medicine Surgery obstetrics (MCO) 12 months Number of hospitalizations not programmed residents on Medicine Surgery obstetrics (MCO) between the inclusion and 12 month
- Secondary Outcome Measures
Name Time Method Score of the specific questionnaire for measurement of the context organizational and Managerial in health care facilities 12 months Evaluate the impact of a strategy issued in EHPAD type teleconsultation or casualty on the quality of work life
the main diagnosis, coded by the International Classification of diseases for every hospitalization 12 months Evaluate the number of inappropriate hospitalization. The inappropriate hospitalization will be performed using the classification of Weissman. Weissman classification identifies causes of potentially preventable hospitalizations, from the main diagnosis, coded by the International Classification of diseases, version 10 (ICD10).
Trial Locations
- Locations (24)
EHPAD CHU Bordeaux
🇫🇷Pessac, Lormont, France
EHPAD Le home medocain Arsac
🇫🇷Arsac, France
EHPAD Résidence l'Arousiney
🇫🇷Gujan-Mestras, France
EHPAD Seguin
🇫🇷Cestas, France
EHPAD Henry Dunant
🇫🇷Bordeaux, France
EHPAD Le Clos Serena
🇫🇷Bordeaux, France
EHPAD Grand Bon Pasteur
🇫🇷Bordeaux, France
EHPAD Résidence les Carmes
🇫🇷Bordeaux, France
EHPAD Cos villa Pia
🇫🇷Bordeaux, France
EHPAD Home Marie Curie
🇫🇷Villenave-d'Ornon, France
EHPAD Fontaudin
🇫🇷Pessac, France
EHPAD Le Platane du Grand Parc
🇫🇷Bordeaux, France
EHPAD Villa Bontemps
🇫🇷Talence, France
EHPAD Residence Aime Cesaire
🇫🇷Bordeaux, France
EHPAD résidence du Tertre
🇫🇷Fronsac, France
Résidence de Médicis
🇫🇷Mérignac, France
EHPAD Villa presentine
🇫🇷Rauzan, France
EHPAD Jacqueline Auriol
🇫🇷Saint Seurin sur l'Isle, France
EHPAD Le parc du Bequet
🇫🇷Bègles, France
EHPAD Les coteaux
🇫🇷Lormont, France
EHPAD Manon Cormier
🇫🇷Bègles, France
EHPAD Douceur de France
🇫🇷Gradignan, France
EHPAD Le rétou
🇫🇷Lamarque, France
EHPAD Résidence La berge du lac
🇫🇷Talence, France