Health Services for the Aged Clinical Trial
Official title:
Effectiveness and Organizational Conditions of Effectiveness of Telemedicine in Establishments Providing Care for the Dependent Elderly
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.
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.
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