The Nuts and Bolts of Utilizing Telemedicine in Nursing Homes - The GeriCare@North Experience
Copyright © 2020 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved..
OBJECTIVES: We examined the demographics and the clinical profile of teleconsultations conducted between an acute geriatric medicine department and 8 nursing homes over a period of 6.5 years.
DESIGN: This is a prospective, descriptive study.
SETTING AND PARTICIPANTS: This study was conducted in 8 nursing homes of Singapore. All nursing home patients referred to the program for teleconsultation between December 2010 and May 2017 were enrolled in the study.
MEASURES: The unit observed and studied was the individual telemedicine consultation. Each unique patient contributed 1 or more observation points. The data collected included consultation dates, patient demographics, background medical comorbidities, reasons for referral, physical examination findings, primary diagnoses, and general management plans recommended by the doctors.
RESULTS: There were 1673 teleconsultations conducted with 850 unique patients. Most of these patients were categorized as having moderate to severe disability. Ninety-five percent of the consultations were scheduled. The main reasons for referral were for medication review (47.6%) and behavioral problems (22.1%). The 4 commonest comorbidities were hypertension (57.0%), dementia (40.0%), diabetes (39.0%), and hyperlipidemia (38%). The most common primary diagnosis was dementia (21.6%), of which 227 of those diagnosed (62.8%) were referred for behavioral and psychological symptoms of dementia.
CONCLUSIONS AND IMPLICATIONS: A telemedicine service for older patients is feasible and could be of a high quality, especially if made available in places where a high density of the latter reside, such as in the care homes and other nursing and rehabilitation facilities.
| Errataetall: |
CommentIn: J Am Med Dir Assoc. 2020 Aug;21(8):1007-1009. - PMID 32736843 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
|---|---|
| Enthalten in: |
Journal of the American Medical Directors Association - 21(2020), 8 vom: 24. Aug., Seite 1073-1078 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Low, James Alvin [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Assisted living |
|---|
| Anmerkungen: |
Date Completed 23.06.2021 Date Revised 23.06.2021 published: Print-Electronic CommentIn: J Am Med Dir Assoc. 2020 Aug;21(8):1007-1009. - PMID 32736843 Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jamda.2020.04.014 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM311549136 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM311549136 | ||
| 003 | DE-627 | ||
| 005 | 20231225142506.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jamda.2020.04.014 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1038.xml |
| 035 | |a (DE-627)NLM311549136 | ||
| 035 | |a (NLM)32576435 | ||
| 035 | |a (PII)S1525-8610(20)30331-5 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Low, James Alvin |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Nuts and Bolts of Utilizing Telemedicine in Nursing Homes - The GeriCare@North Experience |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 23.06.2021 | ||
| 500 | |a Date Revised 23.06.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Am Med Dir Assoc. 2020 Aug;21(8):1007-1009. - PMID 32736843 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVES: We examined the demographics and the clinical profile of teleconsultations conducted between an acute geriatric medicine department and 8 nursing homes over a period of 6.5 years | ||
| 520 | |a DESIGN: This is a prospective, descriptive study | ||
| 520 | |a SETTING AND PARTICIPANTS: This study was conducted in 8 nursing homes of Singapore. All nursing home patients referred to the program for teleconsultation between December 2010 and May 2017 were enrolled in the study | ||
| 520 | |a MEASURES: The unit observed and studied was the individual telemedicine consultation. Each unique patient contributed 1 or more observation points. The data collected included consultation dates, patient demographics, background medical comorbidities, reasons for referral, physical examination findings, primary diagnoses, and general management plans recommended by the doctors | ||
| 520 | |a RESULTS: There were 1673 teleconsultations conducted with 850 unique patients. Most of these patients were categorized as having moderate to severe disability. Ninety-five percent of the consultations were scheduled. The main reasons for referral were for medication review (47.6%) and behavioral problems (22.1%). The 4 commonest comorbidities were hypertension (57.0%), dementia (40.0%), diabetes (39.0%), and hyperlipidemia (38%). The most common primary diagnosis was dementia (21.6%), of which 227 of those diagnosed (62.8%) were referred for behavioral and psychological symptoms of dementia | ||
| 520 | |a CONCLUSIONS AND IMPLICATIONS: A telemedicine service for older patients is feasible and could be of a high quality, especially if made available in places where a high density of the latter reside, such as in the care homes and other nursing and rehabilitation facilities | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a IT | |
| 650 | 4 | |a Telehealth | |
| 650 | 4 | |a assisted living | |
| 650 | 4 | |a geriatrics | |
| 650 | 4 | |a long-term care | |
| 700 | 1 | |a Toh, Hui Jin |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Laurence Lean Chin |e verfasserin |4 aut | |
| 700 | 1 | |a Chia, Joanne Wee Koon |e verfasserin |4 aut | |
| 700 | 1 | |a Soek, Angeline Tian Seah |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of the American Medical Directors Association |d 2000 |g 21(2020), 8 vom: 24. Aug., Seite 1073-1078 |w (DE-627)NLM125714041 |x 1538-9375 |7 nnns |
| 773 | 1 | 8 | |g volume:21 |g year:2020 |g number:8 |g day:24 |g month:08 |g pages:1073-1078 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jamda.2020.04.014 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 21 |j 2020 |e 8 |b 24 |c 08 |h 1073-1078 | ||