ArticleClinical interventions in aging2020
Employment of Telemedicine in Nursing Homes: Clinical Requirement Analysis, System Development and First Test Results.
Article in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 51 citations in OpenAlex.
- Trial
- Prehospital emergency medical service missions to nursing homes - a descriptive retrospective register-based study in Southwest Finland.BMC emergency medicine · 2026Article
- Article
- Impact of regular televisits on unplanned hospital admissions of nursing home residents in rural Germany: a pre-post intervention study.BMC geriatrics · 2025Article
- Applications of human factors approaches and methods to the development of teleconsultations in primary care: a systematic scoping review.BMJ open quality · 2025Article
- More than 3 years of teleconsultations: A retrospective cohort study in specialized outpatient palliative care.Palliative medicine · 2025Article
- Telehealth for primary healthcare delivery in rural and remote contexts in high-income countries-a scoping review.mHealth · 2025Review
- Nurses' and Nursing Assistants' Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study.JMIR aging · 2024Article
- German Version of the Telehealth Usability Questionnaire and Derived Short Questionnaires for Usability and Perceived Usefulness in Health Care Assessment in Telehealth and Digital Therapeutics: Instrument Validation Study.JMIR human factors · 2024Article
- Long-Term Adoption of Televisits in Nursing Homes During the COVID-19 Crisis and Following Up Into the Postpandemic Setting: Mixed Methods Study.JMIR aging · 2024Article
- Telehealth technologies in care homes: a gap for dentistry?Journal of public health (Oxford, England) · 2024Review
- Navigating Through Innovation in Elderly's Health: A Scoping Review of Digital Health Interventions.Public health reviews · 2024Article
- Application of a nurse-led transitional care programme for patients discharged with T-tubes after biliary surgery.Nursing open · 2023Article
- Characteristics of telemedicine workflows in nursing homes during the COVID-19 pandemic.BMC health services research · 2023Article
- Challenges, strategies and consequences from the perspective of German nursing home managers during the first wave of the COVID-19 pandemic - a qualitative interview study.BMC geriatrics · 2023Article
- Does telehealth influence the decision to transfer residents of residential aged care facilities to emergency departments? A scoping review.International journal of older people nursing · 2023Article
- Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review.International journal of environmental research and public health · 2022Article
- Defining the concepts of a smart nursing home and its potential technology utilities that integrate medical services and are acceptable to stakeholders: a scoping review.BMC geriatrics · 2022Article
- [Communication Pathways and Difficulties with Nursing Homes and Digital Perspectives: A Survey of German General Practitioners].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDemographic change and lack of specialized workforces are challenging. Likewise, home visits by general practitioners (GPs) become rarer. If a nursing home resident develops acute symptoms, nurses are often inclined to call the rescue service. Besides patient-related consequences, this might lead to unnecessary hospitalization and far-reaching health economic costs. Due to legal restrictions of remote treatment in Germany, which were recently loosened, telemedicine is still in the early stages. The aim of this study was to employ a holistic telemedical system for nursing homes which facilitates the connection to a GP and thus avoids unnecessary hospitalizations in the case of ambulatory-sensitive illnesses. MATERIALS AND
methodsAfter an inter-professional requirement analysis, the iterative development was started. In addition to an audio-video connection, several point of care measurements were integrated. Finally, first field tests were performed in a nursing home in a rural area in Germany.
resultsOne nursing home was equipped with telemedical system based on the results of the requirement analysis and tele-medically connected to a GP. Over a period of seven months, 56 routine and emergency teleconsultations took place. Only one of those required a hospital admission. In addition to video telephony, electrocardiography and assessment of vitals such as pulse, blood pressure, oxygen saturation and auscultation of heart and lungs were applied frequently.
conclusionA telemedical system including integrated medical devices was successfully developed and has turned out to be helpful and even necessary for careful and reliable decision-making by the GP. First test results show high acceptance for elderly care. Involved patients, nurses, and the GP itemize various specific benefits, including economic, personal, and altruistic issues. Another issue that the current COVID-19 crisis brought to light is lowering the risk of contagion; GPs can replace their home visits by using telepresence combined with point of care measures.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.