Yoshimoto Takeru, Nawa Nobutoshi, Uemura Munenori, Sakano Teppei, Fujiwara Takeo
Department of Global Health Promotion Tokyo Medical and Dental University Tokyo Japan.
Department of Medical Education Research and Development Tokyo Medical and Dental University Tokyo Japan.
J Gen Fam Med. 2022 Mar 20;23(4):233-240. doi: 10.1002/jgf2.534. eCollection 2022 Jul.
Information communication technology (ICT) is crucial to modern communication and information sharing. Effective interprofessional collaboration is essential in the care of elderly people. However, little is known about the effects of ICT on care provision for elderly people in a home setting. This retrospective cohort study examines the impact of interprofessional collaboration using ICT on the health outcomes of elderly home care patients.
The Team mobile application promotes cooperation in local medical health care. It enables providers to obtain and share patient information within a single, cloud-based platform. We collected and analyzed data from 554 patients from Nagaoka (Niigata prefecture, Japan) who received home care services from 2015 to 2020. We calculated the cumulative hazard ratio (HR) of death or admission to a hospital or nursing home for patients whose information was shared among different professions using the platform, and for those whose information was not shared. We used a Cox proportional hazards model, adjusted for covariates, and applied propensity score matching.
The average age of the study population was 83.5 years; the median follow-up period was 579.0 days. The risk of death or admission to a hospital or nursing home significantly decreased in the information-shared group, compared with the control group (adjusted HR: 0.47 [ < 0.01]). Significance remained after propensity score matching (HR: 0.58; = 0.01).
Interprofessional collaboration using ICT may reduce the risk of death or admission to a hospital or nursing home among elderly home care patients in Japan.
信息通信技术（ICT）对现代通信和信息共享至关重要。有效的跨专业协作在老年人护理中至关重要。然而，关于ICT对居家老年人护理的影响知之甚少。这项回顾性队列研究探讨了使用ICT进行跨专业协作对老年居家护理患者健康结局的影响。
团队移动应用程序促进了当地医疗保健中的合作。它使提供者能够在单一的基于云的平台上获取和共享患者信息。我们收集并分析了来自日本新潟县长冈市554名在2015年至2020年期间接受居家护理服务患者的数据。我们计算了信息在不同专业间通过该平台共享的患者以及信息未共享的患者死亡、住院或入住养老院的累积风险比（HR）。我们使用了Cox比例风险模型，并对协变量进行了调整，还应用了倾向得分匹配。
研究人群的平均年龄为83.5岁；中位随访期为579.0天。与对照组相比，信息共享组死亡、住院或入住养老院的风险显著降低（调整后HR：0.47[<0.01]）。倾向得分匹配后仍具有显著性（HR：0.58；=0.01）。
在日本，使用ICT进行跨专业协作可能会降低老年居家护理患者死亡、住院或入住养老院的风险。
