Clinical trial NCT04679181: Acceptability Assessment of an "Organization of Care Integrating Artificial Intelligence and a Solution of Telemedicine" on Care of the Nursing Home Residents Located in a Medical Desert: Pilot Study INTEL@MED-POC
Official title: Acceptability Assessment of an "Organization of Care Integrating Artificial Intelligence and a Solution of Telemedicine" on Care of the Nursing Home Residents Located in a Medical Desert: Pilot Study INTEL@MED-POC
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Homes for the Aged
Keywords: aged
telemedicine
artificial intelligence
Lead sponsor: University Hospital, Limoges
Sponsor class: OTHER
First posted: 2020-12-22
Enrollment: 308
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: 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

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* Patient older than 65 years old.
* Patient living in Nursing Home located in medical desert.
* Patient presenting symptoms involved medical doctor call.
* Patient or legal representative having signed consent form
* Patient covered by social security

Exclusion Criteria:

* End of life patient.
* Chronic aphasic patient.

Primary outcomes:
measure: Acceptability for nurse to use Artificial Intelligence / Telemedecine device analyzed by distant medical doctor
timeFrame: 13 months
measure: Number of non-programmed hospitalization for both distant medical doctor and usual care recommendations
timeFrame: 13 months
measure: delay to obtain the medical expertise
timeFrame: 13 months
Secondary outcomes:
measure: sensitivity and specificity of diagnostic
timeFrame: 13 months
Other outcomes:
Locations:
city: Auzances
country: France
facility: EHPAD Le Bois Joli
city: Chambon-sur-Voueize
country: France
facility: EHPAD Le Chant des Rivières
city: La Roche Chalais
country: France
facility: EHPAD La Porte d'Aquitaine
city: Merlines
country: France
facility: Ehpad Le Chavanon
city: Peyrelevade
country: France
facility: EHPAD Ernest Coulaud
city: Saint Privat
country: France
facility: EHPAD J et M Colaud
Study officials:
References: