Information technology-supported integrated health service for older adults in long-term care settings: A cluster randomized controlled study...International Society for Gerontechnology 13th World Conference, October 24-26, 2022, Daegu, South Korea

ISSUE: As a result of a rapidly aging population in South Korea, there is a growing number of people who reside or are admitted to nursing home of long-term care hospital for treatment, recovery, and care due to multiple comorbidities or functional impairment. In addition, due to a lack of effective...

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Publicado en:Gerontechnology Vol. 21; pp. 1 - 2
Autor principal: Kim, K.-I.
Formato: abstract proceedings research randomized controlled trial Journal Article
Publicado: International Society for Gerontechnology Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
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      pub: International Society for Gerontechnology
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        atl: Information technology-supported integrated health service for older adults in long-term care settings: A cluster randomized controlled study...International Society for Gerontechnology 13th World Conference, October 24-26, 2022, Daegu, South Korea
      aug:
        au: Kim, K.-I.
        affil: Seoul National University College of Medicine, Seoul, Republic of Korea
      sug:
        subj:
          Health Care Delivery, Integrated In Old Age
          Information Technology
          Long Term Care
          Joint Practice
          Congresses and Conferences South Korea
          South Korea
          Aged
          Aged: 65+ years
      ab: ISSUE: As a result of a rapidly aging population in South Korea, there is a growing number of people who reside or are admitted to nursing home of long-term care hospital for treatment, recovery, and care due to multiple comorbidities or functional impairment. In addition, due to a lack of effective collaboration among acute care facilities and subacute and long-term care facilities, patients who already admitted to a nursing home or long-term care hospital are either required to visit an acute care hospital or their caregivers must see an acute care physician if special treatment is needed. In other words, the current reality is inefficient as care continuum cannot be maintained due to the lack of a collaboration model in the healthcare information system. Management of chronic diseases, rehabilitation, medication management, and treatment goal-setting would differ in long term care hospital or nursing (in which older adults reside / hospitalized for long-term care), from that of community-dwelling older adults. Further, there is currently no video-conferencing or consultation model involving geriatric medicine specialists and long-term care facilities in Korea. There are limited data regarding whether information sharing between acute hospitals and long-term care facilities can improve the management of older patients. CONTENT: The Health-RESPECT study will adopt cluster randomized controlled trial (RCT) design with parallel equal arms performed in South Korea. The long-term care institution will be assigned into the cluster by the same category (LTCH or NH), and the same number of clusters will be allocated to the intervention and control groups through randomization. Thereafter, the patients and medical staff recruited from the clusters will be assigned to the intervention or control groups. STRUCTURE: Kim will present the results of the Health-RESPECT clinical study. CONCLUSIONS: Information technology-supported integrated health service was effective in reducing potentially inappropriate medication use and diabetes control among older patients in long-term care hospital or nursing home without functional decline or increase of healthcare utilization.
      pubtype: Academic Journal
      doctype:
        abstract
        proceedings
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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