The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study

Yoshimoto, Takeru; Nawa, Nobutoshi; Uemura, Munenori; Sakano, Teppei; Fujiwara, Takeo

doi:10.1002/jgf2.534

Cited by 6 publications

(8 citation statements)

References 30 publications

(57 reference statements)

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“…Three were carried out in Finland [51][52][53], two in Australia [11,13] , two in Canada [19,54] , and two in Sweden [12,55]. The remaining were undertaken in Switzerland [8], Japan [56], Austria [17], Italy [57], or involved multiple countries [6].…”

Section: Resultsmentioning

confidence: 99%

“…Over one-third of studies from other countries were conducted in nursing homes/facilities (n=7) [6,8,9,14,15,17,18]. Other settings included home care (n=5) [12,[54][55][56][57], care homes (n=1) [13] long-term care facilities (n=1) [11] and an acute care hospital and its neighbouring long-term care home (n=1) [19], assisted living communities (n=1) [16], health centres in Finland (n=2) [51,52], and social care services (n=1) [53].…”

Section: Resultsmentioning

confidence: 99%

“…Studies investigated several different types of digital care records -from health information technology (HIT) in general (n=4) [18,47,54,56], to EMRs/EHRs specifically (n=12) [6, 8, 9, 11, 12, 14-18, 52, 55]. Some were specific systems commissioned by/developed for local authorities or regions, such as the Aged Care Ecosystem [13], the Edotto regional information system [57], CareFirst [10], the PASSsystem [50] or CareCentric [3], among others.…”

Section: Resultsmentioning

confidence: 99%

“…Some were specific systems commissioned by/developed for local authorities or regions, such as the Aged Care Ecosystem [13], the Edotto regional information system [57], CareFirst [10], the PASSsystem [50] or CareCentric [3], among others. Four studies focused on interoperability [10,19,20,56]. Studies can be grouped into those which aimed to: (i) identify barriers and/or facilitators to the implementation of DSCRs and/or information exchange systems (n=9) [3,10,13,19,20,[47][48][49]52]; (ii) assess the proportion/prevalence of services using DSCRs and/or information exchange systems, and/or how these are being used (n=7) [14-18, 45, 55]; (iii) investigate how digital systems affect the work of care professionals or care providers (n=4) [7,11,50,53]; (iv) assess care professionals' perceptions about the use of digital systems (n=4) [6,8,51,54]; (v) map services' readiness/maturity and/or care professionals' capability to adopt DSCRs and/or information exchange systems (n=3) [9,12,42]; (vi) assess potential strategies to improving existing DSCRs or information exchange systems (n=1) [57]; and (vii) assess the impact of use of information communication technology (ICT) on health outcomes (n=1) [56].…”

Section: Resultsmentioning

confidence: 99%

“…Of those studies that aimed to assess the proportion/prevalence of digital systems, most (n=4) used quantitative methods [14][15][16]18]. The study assessing the impact of ICT on health outcomes was also quantitative [56]. The studies that aimed to map services' readiness/maturity varied between qualitative [12], quantitative [42], and mixed methods approaches [9].…”

Section: Resultsmentioning

confidence: 99%

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Good Practice in the Implementation of Digital Social Care Records: A Rapid Scoping Review (Preprint)

Snow,

Silva-Ribeiro,

Baginsky

et al. 2024

Preprint

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BACKGROUND In the past decade, there has been a rise in the use of digital or electronic records in social care worldwide, capturing information key to service delivery. With the COVID-19 pandemic, the increased need for digital services further accelerated digitisation in health and social care. For example, the UK government created a fund specifically for adult social care providers to adopt digital social care records. These rapid developments offer valuable learning opportunities about digital care record implementation in adult social care settings. OBJECTIVE This rapid scoping review aimed to understand what is known about the implementation of digital social care records in adult social care and how implementation varies across use cases, settings, and broader contexts. METHODS The scoping review methodology was guided by Arksey and O’Malley and refined by Levac et al and the Joanna Briggs Institute. Following Tricco et al, some amendments were made to enable a rapid review. We conducted comprehensive searches based on the concepts of Digital Care Records, Social Care, and Interoperability in MEDLINE, EmCare, Web of Science Core Collection, HMIC Health Management Information Consortium, Social Policy and Practice, and Social Services Abstracts. Studies were limited to those published between 2018 and 2023 in English. One reviewer screened titles and abstracts, while two reviewers extracted data. Qualitative content analysis was conducted on the included studies, mapping findings against Greenhalgh et al’s NASSS (Non-adoption, Abandonment, Scale-up, Spread, Sustainability) framework. RESULTS Our search identified 2499 references. After title and abstract screening, 71 records were selected for full-text review, resulting in 31 references from 29 studies. Studies originated from 11 countries (including one multi-country), with the UK being the most represented (n=10). Studies were most often undertaken in nursing homes/facilities (n=7) with older people as the target population (n=6). Health records were the most investigated record type (n=12). We identified 45 facilitators and 102 barriers to digital care record implementation across 28 studies, spanning six of the seven NASSS framework domains and aligning with five overarching themes that require greater active management with respect to implementation. Intended or actual implementation outcomes were reported in 17 studies. CONCLUSIONS Findings suggest implementing digital care records is particularly complex due to a lack of consensus on what digital care records and expected outcomes and impacts should look like. The literature often lacks clear definitions and robust study designs. To be successful, implementation should consider complexity, while studies should utilise robust frameworks and mixed methods or quantitative designs where appropriate. Future research should consider defining the target population, gathering data on carer/service user experiences, and focusing on digital care records specifically being used in social care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Good Practice in the Implementation of Digital Social Care Records: A Rapid Scoping Review (Preprint)

Snow,

Silva-Ribeiro,

Baginsky

et al. 2024

Preprint

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Residential medication management reviews: a call for improved collaboration and systems integration in aged care

Richardson,

Payne,

Richardson

et al. 2024

WWOP

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Purpose Residential Medication Management Reviews (RMMR) are a key component of safe, high-quality aged care service delivery. The RMMR is an interdisciplinary approach to medication management that relies on collaboration, communication and integration of systems. Acting as an improvement opportunity, the purpose of this paper is to present findings from a regional study, aimed at assessing the impact of RMMR on falls and hospital admissions and identifies barriers to impactful research in this area. Design/methodology/approach A three-year retrospective quantitative longitudinal practice audit was conducted in a regional state-managed high-care residential facility in Queensland, Australia. Data was collected pre-RMMR and six months post-RMMR. Findings The data collected was insufficient to achieve statistical significance or demonstrate the impact of RMMR on health outcomes. Factors impeding the research included limited ability to collect the data due to the lack of integration of information systems and limited stakeholder engagement resulting in poor recruitment. This highlights the need for improvement in RMMR processes and practices, and indeed wider research collaboration in the aged care sector. Research limitations/implications Thís paper acts as a call to action to improve research and interprofessional collaboration in Australian aged care. Originality/value The aged care industry needs high-quality research to drive practice improvement and collaborative care and service delivery. This paper advocates for improvements in the aged care sector with respect to research engagement and communication pathways between service providers. Advancement in systems integration for information sharing, recruitment of participants and stakeholder engagement will support evidence-based practice and process change.

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Evaluating the impact of interprofessional training wards on patient satisfaction and clinical outcomes: a mixed-methods analysis

Schlosser-Hupf,

Aichner,

Meier

et al. 2024

Front. Med.

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IntroductionInterprofessional teamwork is pivotal in modern healthcare, prompting the establishment of interprofessional training wards since 1996. While these wards serve as hubs for optimizing healthcare professional collaboration and communication, research into patient outcomes remains notably sparse and geographically limited, predominantly examining patient satisfaction and sparingly exploring other metrics like mortality or self-discharge rates. This study seeks to bridge this gap, comparing patient outcomes in interprofessional training wards and conventional wards under the hypothesis that the former offers no disadvantage to patient outcomes.Materials and methodsWe explored patient outcomes within an interprofessional student ward called A-STAR at a University Hospital from October 2019 to December 2022. Engaging with patients discharged between May 2021 and April 2022, we utilized digital and paper-based anonymous questionnaires, catering to patient preference, to gather pertinent data.ResultsAnalysis of outcomes for 1,482 A-STAR (interprofessional student ward) and 5,752 conventional ward patients revealed noteworthy findings. A-STAR patients tended to be younger (59 vs. 61 years, p < 0.01) and more frequently male (73.5% vs. 70.4%, p = 0.025). Vital clinical outcomes, such as discharges against medical advice, complication-driven readmissions, and ICU transfers, were statistically similar between groups, as were mortality rates (1.2% vs. 1.3%, p = 0.468). A-STAR demonstrated high patient satisfaction, underscored by positive reflections on team competence, ward atmosphere, and responsiveness to concerns, emphasizing the value placed on interprofessional collaboration. Patient narratives commended team kindness, lucid explanations, and proactive involvement.DiscussionThis data collectively underscores the safety and reliability of patient care within training wards, affirming that patients can trust the care provided in these settings. Patients on the interprofessional ward demonstrated high satisfaction levels: 96.7% appreciated the atmosphere and conduct of ward rounds. In comparison, 98.3% were satisfied with the discussion and information about their treatment during their hospital stay.

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The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study

Cited by 6 publications

References 30 publications

Good Practice in the Implementation of Digital Social Care Records: A Rapid Scoping Review (Preprint)

Good Practice in the Implementation of Digital Social Care Records: A Rapid Scoping Review (Preprint)

Residential medication management reviews: a call for improved collaboration and systems integration in aged care

Evaluating the impact of interprofessional training wards on patient satisfaction and clinical outcomes: a mixed-methods analysis

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