Information technology-supported integrated health service for older adults in long-term care settings: A cluster randomized controlled study
K.-I. Kim
Full text PDF 
( Download count: 172)
AbstractISSUE: 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 groupsKeywords: health services for the aged, information technology, long-term care
K.-I. Kim (2022). Information technology-supported integrated health service for older adults in long-term care settings: A cluster randomized controlled study. Gerontechnology, 21(s),2-2
https://doi.org/10.4017/gt.2022.21.s.777.2.sp3