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

Homes for the Aged Clinical Trial

— Intel@Med-Poc  

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04679181
• Other study ID #: 87RI18-0018/Intel@Med-Poc
• Status: Recruiting
• Phase: N/A
• Start date: December 15, 2020
• Est. completion date: March 25, 2023

Study information

• Verified date: April 2022
• Source: University Hospital, Limoges
• Contact: Achille TCHALLA, MD
• Phone: +33555058894
• Email: achille.tchalla[@]chu-limoges.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

Description:

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 308
• Est. completion date: March 25, 2023
• Est. primary completion date: March 25, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

• End of life patient.

• Chronic aphasic patient.

Related Conditions & MeSH terms

• Homes for the Aged

Intervention

Other:
• Telemedecine
telemedical consultation

Locations

Country	Name	City	State
France	EHPAD Le Bois Joli	Auzances
France	EHPAD Le Chant des Rivières	Chambon-sur-Voueize
France	EHPAD La Porte d'Aquitaine	La Roche Chalais
France	Ehpad Le Chavanon	Merlines
France	EHPAD Ernest Coulaud	Peyrelevade
France	EHPAD J et M Colaud	Saint Privat

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Limoges

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acceptability for nurse to use Artificial Intelligence / Telemedecine device analyzed by distant medical doctor	Proportion of the Artificial Intelligence / Telemedecine utilization by the nurse vs medical doctor as usual care	13 months
Primary	Number of non-programmed hospitalization for both distant medical doctor and usual care recommendations	Comparison of non programmed hospitalization in both distant medical doctor analysis and medical doctor as usual care	13 months
Primary	delay to obtain the medical expertise	Comparison of time to obtain the medical expertise for distant medical doctor and usual care recommandations	13 months
Secondary	sensitivity and specificity of diagnostic	Calculation of sensitivity and specificity of diagnostic for acute disease and emergency for both distant medical doctor and usual care recommendations	13 months