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.
調査の概要
状態
条件
詳細な説明
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.
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
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Nice、フランス、06000
- CHU de Nice
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 観測モデル:コホート
- 時間の展望:見込みのある
コホートと介入
グループ/コホート |
---|
コントロール
|
LICORNE platform
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
---|---|
Improvment of the coordinnation around the patient defined by a change of at least one point on a 6 points Likert scale
時間枠:6 months
|
6 months
|
二次結果の測定
結果測定 |
時間枠 |
---|---|
Increase of the number of DMP for the patient using the plateform. Decrease of early hospital readmission
時間枠:> 15 days
|
> 15 days
|
Increase of the number of DMP for the patient using the plateform. Decrease of late hospital readmission
時間枠:1 month
|
1 month
|
Decrease of the time ration hospital/home during the 6 month experimentation
時間枠:6 months
|
6 months
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 14-PP-17
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