Transports and hospitalizations avoided thanks to teleconsultations for elderly patients living in nursing homes

Audiau, Solène; Schmoll, Laurent; Blanc, F.

doi:10.1684/pnv.2021.0990

Cited by 3 publications

(1 citation statement)

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“…Successful implementation would allow nursing homes to address domains in the National Quality Forum measurement framework for telemedicine such as access to care for the patient, family and care team and the effectiveness and experience of the telemedicine encounter [ 34 ]. Although not a focus of this study, evidence suggests that the use of telemedicine in nursing homes improves resident health, and reduces adverse drug events, hospitalizations and emergency room transfers [ 7 , 28 , 31 , 35 – 38 ].…”

Section: Discussionmentioning

confidence: 99%

There and back again: the shape of telemedicine in U.S. nursing homes following COVID-19

et al. 2022

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Introduction Telemedicine use in nursing homes (NHs) expanded during the COVID-19 pandemic. The objectives of this study were to characterize plans to continue telemedicine among newly adopting NHs and identify factors limiting its use after COVID-19. Methods Key informants from 9 Wisconsin NHs that adopted telemedicine during COVID-19 were recruited. Semi-structured interviews and surveys were employed to identify participant perceptions about the value of telemedicine, implementation challenges encountered, and plans and barriers to sustaining its delivery after COVID-19. Directed content analysis and a deductive thematic approach using the Systems Engineering Initiative for Patient Safety (SEIPS) model was used during analyses. Quantitative and qualitative data were integrated to identify participant views on the value of telemedicine and the tools and work system enhancements needed to make telemedicine easier and more effective. Results All participating NHs indicated a preference to continue telemedicine after COVID-19. Urgent assessments of resident change-in-condition and cognitively based sub-specialty consultations were identified as the encounter types most amenable to telemedicine. Reductions in resident off-site encounters and minimization of resident therapy interruptions were identified as major benefits of telemedicine. Twelve work system enhancements needed to better sustain telemedicine were identified, including improvements to: 1) equipment/IT infrastructure; 2) scheduling; 3) information exchange; and 4) telemedicine facilitators. Discussion NHs that adopted telemedicine during COVID-19 wish to continue its use. However, interventions that enhance the integration of telemedicine into NH and off-site clinic work systems require changes to existing regulations and reimbursement models to sustain its utilization after COVID-19.

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Section: Discussionmentioning

confidence: 99%

There and back again: the shape of telemedicine in U.S. nursing homes following COVID-19

et al. 2022

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Impact of regular televisits on unplanned hospital admissions of nursing home residents: a pre-post intervention study (Preprint)

Redeker,

Martin,

Veldeman

et al. 2023

Preprint

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BACKGROUND Hospital admissions occur frequently in nursing homes and are often preventable. Inappropriate hospitalizations due to ambulatory care sensitive conditions bring major risks for the residents, put the emergency departments under pressure and generate high costs for the health sector. Telemedical solutions are of great potential to intensify medical follow-up of the residents and therefore reduce hospital admissions. OBJECTIVE In this study, we evaluated whether the implementation of regular medical televisits, in addition to home visits, can reduce unplanned hospital admissions. METHODS In 2021 a nursing home in rural Germany introduced a telemedical system, linking the facility to a general practitioner (GP). Data concerning the unplanned hospitalizations of the residents was collected for 2021/22 and its historical time period in 2018/19. Thereafter, hospital admissions were compared between the two time periods, and between residents of 2021/22 who did or did not receive regular televisits by their GP. RESULTS Baseline characteristics were comparable between residents of 2018 and 2021, as well as between residents of 2021 receiving or not telemedical care. Unplanned hospital admissions had significantly decreased (P<.0001) after implementation of regular televisits. Furthermore, a significantly lower (P=.04) number of hospital admissions was noted among residents benefiting from regular televisits by their GP, compared to the control group solely followed by regular home visits. CONCLUSIONS The successful implementation of a telemedical system providing ambulatory care in nursing homes shows promising results to reduce unplanned hospital admissions and avoid its negative consequences.

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Navigating Through Innovation in Elderly’s Health: A Scoping Review of Digital Health Interventions

Hirmas-Adauy,

Castillo-Laborde,

Awad

et al. 2024

Public Health Rev

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ObjectivesComprehensively map and summarize digital health initiatives for the elderly and caregivers.MethodsScoping review between April and May 2022 based on Joanna Briggs methodology. Databases used included PubMed, Cochrane Library, CINAHL Plus, and Web of Science, along with grey literature and hand searches. Two reviewers independently conducted screening and eligibility phases, with a third resolving disagreements. Data were thematically analyzed.ResultsThe review included 421 documents. Most documents were published between 2013 and 2022, with a recent increase. Most studies, originating from high-income countries, focused on home applications and were mainly in the testing and validation stages. Telephones and computers were the predominant devices. Health objectives included monitoring, prevention, and treatment, with interventions utilizing directed communication and personal health monitoring for individuals, and telemedicine and decision support for healthcare providers.ConclusionIncreasing integration of technology in older adults’ lives, along with their increasing proficiency, is driving a significant rise in digital health interventions. Despite this growth, further research in middle- and low-income countries, for caregivers and evaluating effectiveness and feasibility of these technological interventions is needed.

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Transports and hospitalizations avoided thanks to teleconsultations for elderly patients living in nursing homes

Cited by 3 publications

References 0 publications

There and back again: the shape of telemedicine in U.S. nursing homes following COVID-19

There and back again: the shape of telemedicine in U.S. nursing homes following COVID-19

Impact of regular televisits on unplanned hospital admissions of nursing home residents: a pre-post intervention study (Preprint)

Navigating Through Innovation in Elderly’s Health: A Scoping Review of Digital Health Interventions

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