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. 2022 Oct 10;19(19):12944.
doi: 10.3390/ijerph191912944.

Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review

Maria Paula Valk-Draad  1 , Sabine Bohnet-Joschko  1
Affiliations

Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review

Maria Paula Valk-Draad et al. Int J Environ Res Public Health. .

Abstract

The aging of society is increasing the number of hospitalizations of nursing home residents. Telemedicine might help reduce the frequency of these potentially risk-associated hospitalizations. This scoping review looked for evidence of a change in the rate of hospitalization and, if mentioned, any cost savings and/or staff acceptance of the use of telemedicine in a nursing home setting. To identify available evidence, the electronic databases PubMed, Livivo, EBSCO and JSTOR were searched (without time or regional constraints) for comparative primary research studies on this topic in peer-reviewed journals. A total of 1127 articles were retrieved and 923 titles and abstracts were screened, with 16 studies published between 2001 and 2022 being included. Telemedicine consultation reduced the hospitalization of nursing home residents in 14/16 and care costs in 8/11 articles. Staff satisfaction was mentioned positively in five studies. Most studies used telemedicine involving medical diagnostic technologies (10), (electronic) health records (9), specialists (9) and specialized nursing staff (11). Few studies had a higher level of evidence: only one randomized clinical trial was included. There is the need for high credibility studies, using guidelines on protocol and reporting, to better understand the hindering and facilitating factors of telemedicine provision in the healthcare of nursing home residents.

Keywords: full inpatient; hospitalization; implementation science; intervention; long-term care; nursing home; nursing home resident; scoping review; telehealth; telemedicine.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram [67].
Figure 2
Figure 2
Numbers of included studies by year and country of origin.
See this image and copyright information in PMC

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