Elderly, Multimorbidity
Conditions
Brief summary
Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the prevalence of chronic diseases and their effects, and thus the need for increased care and welfare. This solutions give a new opportunity for diagnosis, treatment, education, and rehabilitation, and make it possible to monitor patients with a number of chronic diseases. It also reduces socioeconomic disparity with regard to access to care and gives equal chances to patients from urban and rural areas. This a randomized trial of telemedicine versus usual care alone to reduce hospitalization and emergency hospital admissions for Nursing Home Residents . After an initial assessment , each participant is monitored by teleconsultation on six occasions over 12 months. Patients with usual care have an initial and a 12 months assessments.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Elderly over 60 years * Resident in nursing homes * Resident with multiples chronic diseases with at least two comorbidities * Having given free and informed consent in writing and signed by himself and / or his legal representative
Exclusion criteria
* Resident unaffiliated or not beneficiary of Social Security * Resident with a life-threatening disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy | 12 month | Proportion of patients who had an admission to the emergency or unscheduled hospitalization in health service or surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MAST | 12 months | Cost / effectiveness of telemedicine based on the MAST model (Model of Assessment of Telemedicine ). |
Countries
France