Challenges in the development of e-health strategies for geriatric medicine

Wright, Oliver, Wootton, Richard, Margolis, Stephen, Scuffham, Paul and Gray, Len (2007) Challenges in the development of e-health strategies for geriatric medicine. Journal of Telemedicine and Telecare, 13 Supp. 3: 98-100. doi:10.1258/135763307783247347

Author Wright, Oliver
Wootton, Richard
Margolis, Stephen
Scuffham, Paul
Gray, Len
Title Challenges in the development of e-health strategies for geriatric medicine
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
Publication date 2007-12
Year available 2007
Sub-type Article (original research)
DOI 10.1258/135763307783247347
Volume 13
Issue Supp. 3
Start page 98
End page 100
Total pages 3
Editor R. Wootton
E. Krupinski
Place of publication London, United Kingdom
Publisher Royal Society of Medicine Press Ltd.
Collection year 2008
Language eng
Subject 321007 Geriatrics and Gerontology
730203 Health related to ageing
730399 Health and support services not elsewhere classified
Abstract Comprehensive geriatric assessment (CGA), supported by e-health, was provided to 89 frail veterans aged 70 years or older who were admitted to medical, surgical or orthopaedic units at two private hospitals in rural Queensland. Patients were screened and assessed by trained nurses using the interRAI-Acute Care tools. Data entry, validation, reporting and geriatrician comment were facilitated by an online, secure database and reporting system. The process was evaluated based on its utilization and staff satisfaction. The response to the project was generally very positive, but there were also some problems: (1) lack of staff, staff time and resources to successfully complete the assessments; (2) limited referrals from general practitioners (GPs) and difficulty with developing a sustainable communication and referral system between GPs and the hospital; (3) significant variations in caseloads between the study sites; and (4) the unfamiliarity of sufficient staff at the trial sites with the CGA process. Despite these challenges, the use of e-health-supported strategies in geriatric medicine certainly appears achievable and deserve further study.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Wed, 05 Mar 2008, 14:42:39 EST by Denise Wilson on behalf of Medicine - Princess Alexandra Hospital