Moving equipment, not patients: Mobile, net-based digital radiography to nursing home patients

Lærum, Frode; Amdal, Torbjörg; Kirkevold, Marit; Engedal, Knut; Hellund, Johan Castberg; Oswold, Sigmund; Borthne, Kjell; Sager, E. M.; Randers, Jørgen

doi:10.1016/j.ics.2005.03.328

Cited by 14 publications

(34 citation statements)

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“…In the current study, it has been shown that it is feasible to use a mobile radiography service in nursing homes, with excellent technical results, good patient acceptance, and high nursing staff acceptance, in accordance with a previous study [8] .…”

Section: Discussionsupporting

confidence: 91%

“…A digital detector was used to acquire the radiographic images, similar to a previous study [8] . In earlier reports, similar services have used conventional filmscreen techniques [6,7] , with a long delay from the exposure in a nursing home to developing the radiographic film in the radiology department, without any way of assessing the image quality on site [7] .…”

Section: Discussionmentioning

confidence: 99%

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Positive Experience of a Mobile Radiography Service in Nursing Homes

Eklund¹,

Klefsgård²,

Ivarsson³

et al. 2011

Gerontology

131

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Background: For elderly people living in nursing homes, a transport to hospital for a radiological examination can lead to increased anxiety, disorientation and other problems related to the new environment. Objective: To investigate the usefulness of a mobile radiography service for radiological assessment of patients in nursing homes from the patient and staff perspectives. Methods: Lightweight equipment with a digital flat-panel detector was used for mobile radiography on nursing home patients in their own rooms. Data on patient and staff experiences from the service were collected using a questionnaire with closed and open-ended questions. Image quality was evaluated by the radiographer and a radiologist. Results: The majority of 241 radiography examinations were of the musculoskeletal system (94%). Twelve of 123 patients had pathology that required hospital treatment, while 22 patients with radiographic pathology could be treated locally. The main beneficial factors were security and comfort, acceptance from the patients, no need for transportation, no need for staff to be absent from the nursing homes. Conclusion: Mobile radiography in nursing homes is technically feasible, with good image quality. The most beneficial results were that patients avoided unnecessary transport back and forth to the hospital, and that the majority of patients could be treated locally.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Positive Experience of a Mobile Radiography Service in Nursing Homes

Eklund¹,

Klefsgård²,

Ivarsson³

et al. 2011

Gerontology

131

View full text Add to dashboard Cite

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“…Inadvertently transfer to hospital may do more harm than good for a nursing home resident, thus hospitalisation should be avoided [2, 5]. In addition, the transfer may affect cost and acceptability of radiological services [8]. …”

Section: Introductionmentioning

confidence: 99%

Mobile radiography services in nursing homes: a systematic review of residents’ and societal outcomes

Kjelle

Lysdahl

2017

BMC Health Serv Res

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BackgroundDemographic changes are leading to an ageing population in Europe, and predict an increase in the number of nursing home residents over the next 30 years. Nursing home residents need specialised healthcare services such as radiology due to both chronic and acute illnesses. Mobile radiography, x-ray examinations performed in the nursing homes, may be a good way of providing services to this population. The aim of this systematic review was to identify the outcomes of mobile radiography services for nursing home residents and society.MethodsA systematic review based on searches in the Medline, Cochrane, PubMed, Embase and Svemed + databases was performed. Titles and abstracts were screened according to a predefined set of inclusion criteria: empirical studies in the geriatric population, and reports of mobile radiography services in a clinical setting. All publications were quality appraised using MMAT or CASP appraisal tools. Data were extracted using a summary table and results were narratively synthesised.ResultsTen publications were included. Three overarching outcomes were identified: 1) reduced number of hospitalisations and outpatient examinations or treatments, 2) reduced number of transfers between nursing homes and hospitals and 3) increased access to x-ray examinations. These outcomes were interlinked with the more specific outcomes for residents and society reported in the literature. For residents there was a reduction in burdensome transfers and waiting time and adequate treatment and care increased. For society, released resources could be used more efficiently, and overall costs were reduced substantially.ConclusionsThis review indicates that mobile radiography services for nursing home residents in the western world are of comparable quality to hospital-based examinations and have clear potential benefits. Mobile radiography reduced transfers to and from hospital, increased the number of examinations carried out and facilitated timely diagnosis and access to treatments. Further research is needed to formally evaluate potential improvements in care quality and cost-effectiveness.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2173-8) contains supplementary material, which is available to authorized users.

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“…Et eksempel på et behandlingsnettverk med samarbeid i kommunehelsetjenesten og spesialisthelsetjenesten, er den mobile røntgentjenesten til sykehjem i regi av Ullevål sykehus i Oslo (Laerum, Amdal, Kirkevold, Engedal, Hellund Oswold, Borthne, Sager, Randers 2005).…”

Section: Innledning Og Bakgrunnunclassified