The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study
Abstract Background 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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-07-01
|
| Series: | Journal of General and Family Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jgf2.534 |
| _version_ | 1811319237832081408 |
|---|---|
| author | Takeru Yoshimoto Nobutoshi Nawa Munenori Uemura Teppei Sakano Takeo Fujiwara |
| author_facet | Takeru Yoshimoto Nobutoshi Nawa Munenori Uemura Teppei Sakano Takeo Fujiwara |
| author_sort | Takeru Yoshimoto |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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 [p < 0.01]). Significance remained after propensity score matching (HR: 0.58; p = 0.01). Conclusions 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. |
| first_indexed | 2024-04-13T12:39:16Z |
| format | Article |
| id | doaj.art-b44957c9b7fb491eaab608a781ee218f |
| institution | Directory Open Access Journal |
| issn | 2189-7948 |
| language | English |
| last_indexed | 2024-04-13T12:39:16Z |
| publishDate | 2022-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of General and Family Medicine |
| spelling | doaj.art-b44957c9b7fb491eaab608a781ee218f2022-12-22T02:46:34ZengWileyJournal of General and Family Medicine2189-79482022-07-0123423324010.1002/jgf2.534The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort studyTakeru Yoshimoto0Nobutoshi Nawa1Munenori Uemura2Teppei Sakano3Takeo Fujiwara4Department of Global Health Promotion Tokyo Medical and Dental University Tokyo JapanDepartment of Medical Education Research and Development Tokyo Medical and Dental University Tokyo JapanAllm, Inc Tokyo JapanAllm, Inc Tokyo JapanDepartment of Global Health Promotion Tokyo Medical and Dental University Tokyo JapanAbstract Background 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. Methods 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. Results 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 [p < 0.01]). Significance remained after propensity score matching (HR: 0.58; p = 0.01). Conclusions 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.https://doi.org/10.1002/jgf2.534agedhome care servicesinformation technologyInterdisciplinary communication |
| spellingShingle | Takeru Yoshimoto Nobutoshi Nawa Munenori Uemura Teppei Sakano Takeo Fujiwara The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study Journal of General and Family Medicine aged home care services information technology Interdisciplinary communication |
| title | The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study |
| title_full | The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study |
| title_fullStr | The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study |
| title_full_unstemmed | The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study |
| title_short | The impact of interprofessional communication through ICT on health outcomes of older adults receiving home care in Japan – A retrospective cohort study |
| title_sort | impact of interprofessional communication through ict on health outcomes of older adults receiving home care in japan a retrospective cohort study |
| topic | aged home care services information technology Interdisciplinary communication |
| url | https://doi.org/10.1002/jgf2.534 |
| work_keys_str_mv | AT takeruyoshimoto theimpactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT nobutoshinawa theimpactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT munenoriuemura theimpactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT teppeisakano theimpactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT takeofujiwara theimpactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT takeruyoshimoto impactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT nobutoshinawa impactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT munenoriuemura impactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT teppeisakano impactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy AT takeofujiwara impactofinterprofessionalcommunicationthroughictonhealthoutcomesofolderadultsreceivinghomecareinjapanaretrospectivecohortstudy |