Initial evaluation of a technologyenabled change in delivery of the dementia service during COVID-19 in North Warwickshire.

Sid Singh, Ellie Moore, Paolo Melissa, Vinod Patel, James Brown, Jan Davidson
{"title":"Initial evaluation of a technologyenabled change in delivery of the dementia service during COVID-19 in North Warwickshire.","authors":"Sid Singh, Ellie Moore, Paolo Melissa, Vinod Patel, James Brown, Jan Davidson","doi":"10.12968/bjcn.2024.29.5.224","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Remote monitoring technologies show potential to help health professionals deliver preventative interventions which can avoid hospital admissions and allow patients to remain in a home setting.</p><p><strong>Aims: </strong>To assess whether an Internet of Things (IoT) driven remote monitoring technology, used in the care pathway of community dementia patients in North Warwickshire improved access to care for patients and cost effectiveness.</p><p><strong>Method: </strong>Patient level changes to anonymised retrospective healthcare utilisation data were analysed alongside costs.</p><p><strong>Results: </strong>Urgent care decreased following use of an IoT driven remote monitoring technology; one preventative intervention avoided an average of three urgent interventions. A Chi-Square test showing this change as significant. Estimates show annualised service activity avoidance of £201,583 for the cohort; £8764 per patient.</p><p><strong>Conclusions: </strong>IoT driven remote monitoring had a positive impact on health utilisation and cost avoidance. Future expansion of the cohort will allow for validation of the results and consider the impact of the technology on patient health outcomes and staff workflows.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 5","pages":"224-230"},"PeriodicalIF":0.0000,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Community Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/bjcn.2024.29.5.224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Remote monitoring technologies show potential to help health professionals deliver preventative interventions which can avoid hospital admissions and allow patients to remain in a home setting.

Aims: To assess whether an Internet of Things (IoT) driven remote monitoring technology, used in the care pathway of community dementia patients in North Warwickshire improved access to care for patients and cost effectiveness.

Method: Patient level changes to anonymised retrospective healthcare utilisation data were analysed alongside costs.

Results: Urgent care decreased following use of an IoT driven remote monitoring technology; one preventative intervention avoided an average of three urgent interventions. A Chi-Square test showing this change as significant. Estimates show annualised service activity avoidance of £201,583 for the cohort; £8764 per patient.

Conclusions: IoT driven remote monitoring had a positive impact on health utilisation and cost avoidance. Future expansion of the cohort will allow for validation of the results and consider the impact of the technology on patient health outcomes and staff workflows.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
对北沃里克郡 COVID-19 期间痴呆症服务的技术变革进行初步评估。
背景:远程监控技术显示出帮助医疗专业人员提供预防性干预措施的潜力,这种干预措施可以避免患者入院,并使患者能够留在家中。目的:评估北沃里克郡社区痴呆症患者护理路径中使用的物联网(IoT)驱动远程监控技术是否改善了患者获得护理的机会以及成本效益:方法:对匿名回顾性医疗保健使用数据在患者层面的变化以及成本进行分析:结果:使用物联网驱动的远程监控技术后,紧急护理减少了;一次预防性干预平均避免了三次紧急干预。Chi-Square 检验显示这一变化非常显著。估计结果显示,群组的年化服务活动避免量为 201,583 英镑;每位患者的年化服务活动避免量为 8764 英镑:结论:物联网驱动的远程监控对健康利用和成本避免产生了积极影响。未来扩大群组将有助于验证结果,并考虑该技术对患者健康结果和员工工作流程的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
British Journal of Community Nursing
British Journal of Community Nursing Nursing-Community and Home Care
CiteScore
1.40
自引率
0.00%
发文量
179
期刊介绍: British Journal of Community Nursing (BJCN) is the UK"s leading peer-reviewed journal for district nurses, containing the most up-to-date clinical coverage and research on primary care nursing. The journal promotes excellence in clinical practice with an emphasis on the sharing of expertise and innovation in district nursing. Articles are written by nurses from across the community nursing spectrum, and peer-reviewed by leading authorities in primary care to make sure that the journal addresses all aspects of the profession in a way that is relevant, intelligent and accessible, and so useful in daily practice.
期刊最新文献
Assessing students' confidence in prescribing: contributing facilitators and constraints. Aysha Mendes provides a synopsis and brief review of a selection of recently published research articles that are of interest to community nurses. Be prepared for future pandemics. Carbon monoxide poisoning: assessment and actions for nurses working in service users' homes. Faecal incontinence: investigation, treatment and management.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1