Acceptability Assessment of an "Organization of Care Integrating Artificial Intelligence and a Solution of Telemedicine" on Care of the Nursing Home Residents Located in a Medical Desert: Pilot Study INTEL@MED-POC
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 137
- 试验地点
- 12
- 主要终点
- delay to obtain the medical expertise
研究概览
简要总结
While depend elderly people needs are important in Nursing Home, the medical resources are weak from both inside and outside residences located in a medical desert. The goal of this project is to measure the acceptability of Artificial Intelligence and Telemedicine in Nursing Home located in medical desert for patients, nurses, and medical doctor
详细描述
The ageing of the population comes along with the problematic of chronic pathologies and dependence, with sometimes serious consequences resulting in an admission in Nursing Home. While the low require a medical doctor in each Nursing Home, one third of the Nursing Home does not have. Some Nursing Homes can be in a tricky situation with no medical doctor coordinator and the difficulty of access to a medical doctor who covered a wide territory. In this context, the emergence of Artificial Intelligence coupled with Telemedicine is a new opportunity to find solution in healthcare organization and to develop advanced geriatric medical practice in medical desert territory. The goal of this study is to quantify and characterize the acceptability of Artificial Intelligence and Telemedicine in Nursing Home located in medical desert for patients, nurses, and medical doctor.
All the patients were examined by a nurse. The symptoms filled by the nurse in the Artificial Intelligence/Telemedicine device are sent and then analyzed by a distant medical doctor to purpose a care. The nurse also solicited the attending medical doctor as usual care.
The recommendations of the both medical doctors could be (i) Vital emergency, (ii) non-vital emergency necessitate medication or hospitalization, and (iii) non-emergency with medical appointment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient older than 65 years old.
- •Patient living in Nursing Home located in medical desert.
- •Patient presenting symptoms involved medical doctor call.
- •Patient or legal representative having signed consent form
- •Patient covered by social security
排除标准
- •End of life patient.
- •Chronic aphasic patient.
研究组 & 干预措施
Active arm
use of telemedicine
干预措施: Telemedecine (Other)
结局指标
主要结局
delay to obtain the medical expertise
时间窗: 13 months
Comparison of time to obtain the medical expertise for distant medical doctor and usual care recommandations
Number of non-programmed hospitalization for both distant medical doctor and usual care recommendations
时间窗: 13 months
Comparison of non programmed hospitalization in both distant medical doctor analysis and medical doctor as usual care
Acceptability for nurse to use Artificial Intelligence / Telemedecine device analyzed by distant medical doctor
时间窗: 13 months
Proportion of the Artificial Intelligence / Telemedecine utilization by the nurse vs medical doctor as usual care
次要结局
- sensitivity and specificity of diagnostic(13 months)
