Interest of the Use of the Web Platform LICORNE (LIaison and COoRdination With a NumériquE Health Reseau) Concerning Coordination of Care for Dependant Elderly Patients (LICORNE)
This project is associating partners from the public area (university hospital of Nice, Nice university) and the private area (Agfa Health Care, Radhuis, Domicalis) to create a unique medico-psycho-social shared record.
The purpose of this project is to significantly improve coordination of care, especially between hospital and home. We can expect a significant improvement in the patient's living conditions, improving its management, its security and ultimately, lower health care costs.
Studieoversigt
Status
Betingelser
Detaljeret beskrivelse
The LICORNE project was created to give the possibility for the medical establishments to share there medico-psycho-social informations with all actors taking part of the patient care. Indeed, current informatique systems in medical establishments have an isolated functionning, without transmission of information outsite the wall of the hospital. The idea of this project is to bring together all actors involved in the care of a patient around a single shared patient record, regardless of the structures where professionnals work. This project is associating partners from the public area (university hospital of Nice, Nice university) and the private area (Agfa Health Care, Radhuis, Domicalis) to create a unique medico-psycho-social shared record. The informations will be share between all the professionnal taking car of the patient.
The main objective of this protocol will be to determine the impact of using the LICORNE platform on the coordination of care of elderly patients with multiple diseases. We will assess the impact of using the LICORNE platform on the implementation of electronic health record (Dossier Médical Partagé, public health insurance of the social security), and the benefit of using the LICORNE platform to reduce patient's hospital readmissions.
The purpose of this project is to significantly improve coordination of care, especially between hospital and home. We can expect a significant improvement in the patient's living conditions, improving its management, its security and ultimately, lower health care costs.
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
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Nice, Frankrig, 06000
- CHU de Nice
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Age> 60 years
- multiple pathologies : having at least two active chronic conditions.
- Polypharmacy : having at least 4 different molecules in its treatment.
- Dependence : GIR 4 or equivalent and less before hospitalization.
- Need medical care at home at least 5 days a week .
- Patient requiring social intervention ( this criterion of judgment is left to the social worker in the patient's file)
Exclusion Criteria:
- Life threatening pathology during current hospitalization .
- Patients undergoing a hospitalization home service .
- Patients without administrative or judicial freedom if the authorization of the legal representative can not be collected.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: Kohorte
- Tidsperspektiver: Fremadrettet
Kohorter og interventioner
Gruppe / kohorte |
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Styring
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LICORNE platform
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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Improvment of the coordinnation around the patient defined by a change of at least one point on a 6 points Likert scale
Tidsramme: 6 months
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6 months
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Increase of the number of DMP for the patient using the plateform. Decrease of early hospital readmission
Tidsramme: > 15 days
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> 15 days
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Increase of the number of DMP for the patient using the plateform. Decrease of late hospital readmission
Tidsramme: 1 month
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1 month
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Decrease of the time ration hospital/home during the 6 month experimentation
Tidsramme: 6 months
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6 months
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Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 14-PP-17
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