None listed
Conditions
Interventions
Others : ICT-assisted medical decision support and consultation model services provided to the intervention group include (1) the comprehensive geriatric assessment (CGA) (2) establishment of individu
Sponsors
Seoul National University Bundang Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Subject 1: Among the patients who are admitted to or living long-term care hospital or nursing home 1) age 65 and more 2) more than two weeks of hospitalization or living in the institution on the date of intervention or observation 3) who have One or more of the chronic diseases (hypertension, diabetes, heart failure, etc.) Subject 2: Medical staffs (physicians and nurses) who have worked or contracted with participating institutions and have participated directly in management of intervention or control group patients (Subject 1) : They are not included in the total number of subjects, but after the end of the study, the survey will be conducted on the level of satisfaction with the service use, process evaluation, and the willingness to pay
Exclusion criteria
Exclusion criteria: Subject 1 1) Patients who are expected to die or discharge within 3 months 2) Comatous status (can not do one-step obey command) 3) Subjects who do not agree with the study 4) significant reason for limiting the participation and progress of the research according to the judgment of the researcher other than the above mentioned criteria Subject 2 1) participants who are expected to change of work or termination of the contract during the study period 2) work experience in the instutition is less than one month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Control rate of Hypertension;Control rate of Diabetes;Incidence rate due to heart failure;Inappropriate Drug Prescription Rate;Rate of polypharmacy;Integrated function al status indicator level (InterRAI) | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of Adverse Effects of Hypertension Treatment;Hypoglycemia incidence;Symptoms of Heart Failure (NYHA class);Survival improvement drug for heart failure prescription rate;Individual indicator of integrated function status (Individual Quality Indicators using interRAI LTCF);Cognitive function score (MMSE);Functional Ambulation Category [FAC] Score;Pneumonia incidence due to aspiration;Qualiy of life (EQ-5D);Acute hospital use (hospitalization via emergency room, emergency room visit);Clinical utility (Satisfaction with the experience);Economic effectiveness and efficiency | — |
Countries
Korea, Republic of
Contacts
Public ContactJung-Yeon Choi
Seoul National University Bundang Hospital
Outcome results
None listed