Verification of integrated service model for older patients using ICT
- Conditions
- Not Applicable
- Registration Number
- KCT0004360
- Lead Sponsor
- Seoul National University Bundang Hospital
- Brief Summary
In the intention-to-treat analysis, the diabetes control rate and discontinuation of PIM improved significantly in the intervention group. There was no significant difference between groups in cognitive and motor function, quality of life, and unplanned hospitalization.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 555
Subject 1: Among the patients who are admitted to or living long-term care hospital or nursing home
1) age 65 and more
2) more than two weeks of hospitalization or living in the institution on the date of intervention or observation
3) who have One or more of the chronic diseases (hypertension, diabetes, heart failure, etc.)
Subject 2: Medical staffs (physicians and nurses) who have worked or contracted with participating institutions and have participated directly in management of intervention or control group patients (Subject 1)
: They are not included in the total number of subjects, but after the end of the study, the survey will be conducted on the level of satisfaction with the service use, process evaluation, and the willingness to pay
Subject 1
1) Patients who are expected to die or discharge within 3 months
2) Comatous status (can not do one-step obey command)
3) Subjects who do not agree with the study
4) significant reason for limiting the participation and progress of the research according to the judgment of the researcher other than the above mentioned criteria
Subject 2
1) participants who are expected to change of work or termination of the contract during the study period
2) work experience in the instutition is less than one month
Study & Design
- Study Type
- Interventional Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Control rate of Hypertension;Control rate of Diabetes;Incidence rate due to heart failure;Inappropriate Drug Prescription Rate;Rate of polypharmacy;Integrated function al status indicator level (InterRAI)
- Secondary Outcome Measures
Name Time Method Incidence of Adverse Effects of Hypertension Treatment;Hypoglycemia incidence;Symptoms of Heart Failure (NYHA class);Survival improvement drug for heart failure prescription rate;Individual indicator of integrated function status (Individual Quality Indicators using interRAI LTCF);Cognitive function score (MMSE);Functional Ambulation Category [FAC] Score;Pneumonia incidence due to aspiration;Qualiy of life (EQ-5D);Acute hospital use (hospitalization via emergency room, emergency room visit);Clinical utility (Satisfaction with the experience);Economic effectiveness and efficiency