Telegeriatrics - A Pilot Project to Reduce Unnecessary Hospital Admissions of Nursing Home Residents in Singapore

H. J. Toh, Chia J., E. Koh, K. Lam, G. C. Magpantay, C. M. De Leon, J. A. Low

Abstract

Geriatric specialists have been scarce in Singapore and this has drawn attention to a rising need in providing quality care for the ageing society. Access to geriatric care could decrease nursing home to acute hospital transfers, thus improving residents’ quality of life. A pilot project implemented by an acute hospital in Singapore aims to use videoconferencing systems to improve access to geriatric specialist care for nursing homes and thereby reduce unnecessary acute hospital admissions. We aim to assess the impact of the level of engagement with Telegeriatrics has on nursing home to hospital transfer rates. Two nursing homes were recruited from December 2010 to March 2014. A total of 379 telemedicine consultation episodes were conducted over this period. Hospital admission rates were monitored over a 2-year period and compared against the nursing home’s level of engagement with Telegeriatrics. The more-engaged nursing home reported a significant decrease of 29% in hospital admission rates. In contrast, the less-engaged nursing home only reported a 6% decrease. The findings show a reduction in hospital admission rate for both nursing homes. When the two nursing homes were compared, the nursing home that was more engaged with Telegeriatrics had a lower rate of unnecessary hospital admission. Telegeriatrics has the potential to reduce unnecessary hospitalisation frequently experienced by nursing home residents. Furthermore, a decrease in hospital readmission rates enables hospital beds to be better utilised, reduces medical spending and relieves residents’ distress.

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Paper Citation


in Harvard Style

J. Toh H., J. C., Koh E., Lam K., C. Magpantay G., M. De Leon C. and A. Low J. (2015). Telegeriatrics - A Pilot Project to Reduce Unnecessary Hospital Admissions of Nursing Home Residents in Singapore . In Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AgeingWell, ISBN 978-989-758-102-1, pages 91-96. DOI: 10.5220/0005436800910096


in Bibtex Style

@conference{ict4ageingwell15,
author={H. J. Toh and Chia J. and E. Koh and K. Lam and G. C. Magpantay and C. M. De Leon and J. A. Low},
title={Telegeriatrics - A Pilot Project to Reduce Unnecessary Hospital Admissions of Nursing Home Residents in Singapore},
booktitle={Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AgeingWell,},
year={2015},
pages={91-96},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005436800910096},
isbn={978-989-758-102-1},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AgeingWell,
TI - Telegeriatrics - A Pilot Project to Reduce Unnecessary Hospital Admissions of Nursing Home Residents in Singapore
SN - 978-989-758-102-1
AU - J. Toh H.
AU - J. C.
AU - Koh E.
AU - Lam K.
AU - C. Magpantay G.
AU - M. De Leon C.
AU - A. Low J.
PY - 2015
SP - 91
EP - 96
DO - 10.5220/0005436800910096