Medico-economical Evaluation on Buccodental Teleexpertise in Nursing Home
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 171
- 试验地点
- 26
- 主要终点
- Cost-Utility ratio of buccodental telemedicine in nursing home as compared to usual care
研究概览
简要总结
Oral care in medical and social institutions is a real public health problem. The impact of poor oral health on the general state of residents but also on their overall quality of life is significant.
The development of a precise regulatory framework for telemedicine in France aims to transform experiments into sustainable medical activities. Odontology often set aside in this reflection, must be reintegrated. The use of tele-expertise for the oral care of nursing home residents should make it possible to replace oral health in medico-social institutions. The investigators will assess in a cluster randomized controlled study whether the buccodental telemedicine has a viable economic model and a significant impact on the overall health of facility for dependent elderly persons residents.
The medico-economic impact of the buccodental telexpertise is fundamental for the development of this innovative activity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 120 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be resident of a facility for dependent elderly persons involved in the study
- •Have given their Free, informed and signed consent
- •Beneficiary or member of a social security scheme
排除标准
- •incapacity to open the mouth
- •contrary opinion of the medical team (end of life)
- •Change of nursing home planned within 6 months
- •Subject in a period of relative exclusion from another protocol
- •Subject's participation in another study
- •Subject deprived of liberty by judicial or administrative decision
结局指标
主要结局
Cost-Utility ratio of buccodental telemedicine in nursing home as compared to usual care
时间窗: At month 6
Costs include telemedicine and medical costs related to oral health care. Utility correspond to the Quality Adjusted Life-Years (QALY) score measured using the EQ5D-3L questionnaire (EuroQol 3 levels of 5 dimensions).
次要结局
- Cost/Efficacity ratio of buccodental telemedicine in nursing home as compared to usual care(At month 6)
- Quality of life comparison: EQ5D-3L questionnaire(At month 6)
- Economic impact of teleexpertise on dental treatment(At month 6)
- Evaluate satisfaction rate of use of teleexpertise of nursing home staff(At month 6)
- Compare the emergency score(At month 0 and at month 6)