While depend elderly people needs are important in Nursing Home, the medical resources are weak from both inside and outside residences located in a medical desert. The goal of this project is to measure the acceptability of Artificial Intelligence and Telemedicine in Nursing Home located in medical desert for patients, nurses, and medical doctor
The ageing of the population comes along with the problematic of chronic pathologies and dependence, with sometimes serious consequences resulting in an admission in Nursing Home. While the low require a medical doctor in each Nursing Home, one third of the Nursing Home does not have. Some Nursing Homes can be in a tricky situation with no medical doctor coordinator and the difficulty of access to a medical doctor who covered a wide territory. In this context, the emergence of Artificial Intelligence coupled with Telemedicine is a new opportunity to find solution in healthcare organization and to develop advanced geriatric medical practice in medical desert territory. The goal of this study is to quantify and characterize the acceptability of Artificial Intelligence and Telemedicine in Nursing Home located in medical desert for patients, nurses, and medical doctor. All the patients were examined by a nurse. The symptoms filled by the nurse in the Artificial Intelligence/Telemedicine device are sent and then analyzed by a distant medical doctor to purpose a care. The nurse also solicited the attending medical doctor as usual care. The recommendations of the both medical doctors could be (i) Vital emergency, (ii) non-vital emergency necessitate medication or hospitalization, and (iii) non-emergency with medical appointment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
137
telemedical consultation
EHPAD Le Bois Joli
Auzances, France
EHPAD Le Chant des Rivières
Chambon-sur-Voueize, France
EHPAD La Porte d'Aquitaine
La Roche-Chalais, France
Ehpad Le Chavanon
Merlines, France
EHPAD Ernest Coulaud
Peyrelevade, France
EHPAD J et M Colaud
Saint-Privat, France
Acceptability for nurse to use Artificial Intelligence / Telemedecine device analyzed by distant medical doctor
Proportion of the Artificial Intelligence / Telemedecine utilization by the nurse vs medical doctor as usual care
Time frame: 13 months
Number of non-programmed hospitalization for both distant medical doctor and usual care recommendations
Comparison of non programmed hospitalization in both distant medical doctor analysis and medical doctor as usual care
Time frame: 13 months
delay to obtain the medical expertise
Comparison of time to obtain the medical expertise for distant medical doctor and usual care recommandations
Time frame: 13 months
sensitivity and specificity of diagnostic
Calculation of sensitivity and specificity of diagnostic for acute disease and emergency for both distant medical doctor and usual care recommendations
Time frame: 13 months
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