Koskas P, Scemama E, Wolfowicz B
Neurologist, geriatrician, Memory Center, Bretonneau Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
Webdesigner, NEOMA Business School (2008 Graduate), Rouen, France.
J Telemed Telecare. 2015 Jul;21(5):276-82. doi: 10.1177/1357633X15572713. Epub 2015 Mar 10.
In France, a specially-designed care plan for the elderly is generally based on an interdisciplinary, complex and time-consuming process. The health system assigns care throughout the social and health care services using multiple providers and sites.
The free website www.jesuisautonome.fr offers senior citizens and their families an opportunity to assess their own independence at home using a questionnaire in order to obtain a personal, life-at-home, enforcement plan. We aim to examine the correlation between the specially-designed care plan obtained by the usual assessment method and through self-evaluation via the website.
Community-dwelling subjects, consulting for the first time from December 2012 to July 2014, were under consideration. Patients were assessed using the Comprehensive Geriatric Assessment (CGA) and also independently during the first consultation; patients and their caregivers were then asked to fill out the questionnaire on the website. The two methods were compared using the Bland-Altman analysis for quantitative values and Kappa values for qualitative values.
73 patients completed the study. Correlation was excellent between parameters that did not include error due to risk to the patient (assistance with bathing and dressing, a nurse for drug distribution, measure of legal protection). Correlation was good with housekeeper hours that involved a financial cost to state social services and families. The GIR (Iso Ressource Groupe), which in France serves as a reference to determine social disability of the elderly, was similar.
Our study confirms the potential of the website www.jesuisautonome.fr. to improve the delivery of health and social care services.
在法国，专门为老年人设计的护理计划通常基于一个跨学科、复杂且耗时的过程。卫生系统通过多个提供者和场所，在社会和医疗服务中分配护理工作。
纳入2012年12月至2014年7月首次咨询的社区居住受试者。患者接受了综合老年评估（CGA），并在首次咨询期间独立接受评估；然后要求患者及其护理人员在网站上填写问卷。对于定量值，使用Bland-Altman分析比较两种方法；对于定性值，使用Kappa值进行比较。
73名患者完成了研究。在不包括因患者风险导致的误差的参数（洗澡和穿衣协助、配药护士、法律保护措施）之间，相关性极佳。对于涉及国家社会服务和家庭财务成本的管家工时，相关性良好。在法国用于确定老年人社会残疾状况的参考指标——Iso Ressource Groupe（GIR）相似。
