Highlights
- •Social workers can participate in the health system by using a system that gives well-being alerts but not any medical information.
- •Serious medical alerts were raised by social workers.
- •Social alerts were also raised.
Abstract
Background
The care model for supporting elderly people living independently at home relies on
the informal and formal assistance of caregivers. Information and communication technology
(ICT) offers new approaches for informal care services for this group.
Methods
A longitudinal observational pilot study was carried out in home services in France.
Employees of the ADMR home services followed 130 elderly people living at home and
who were no more than moderately impaired. A single visual analogue scale (VAS) was
used on a smartphone to assess global health every time a person was visited. An alert
system was devised to inform the elderly person and/or a responsible person of any
deterioration in health status. All medical and social events were recorded throughout
the 9-month study.
Results
138 people were enrolled and 106 were evaluated. 37 alerts were observed. 21 were
confirmed and 16 were false positives. Only employees untrained in the use of the
system generated false positive alerts. Six severe medical alerts were observed, including
one cancer undetected by the physician, one hospitalization for diabetes, one hospitalization
which led to death 6 months later and one hospitalization which resulted in follow-up
care.
Conclusions
Social workers can participate in the health system with all the ethical criteria
of medicine. To our knowledge, this is the first ICT-based alert system that has been
found to produce severe medical alerts by employees of home services.
Abbreviations:
ADMR (Aide à domicile en milieu rural), CARSAT (Caisse d’Assurance Retraite et Santé au travail), GDPR (General Data Protection Regulation), ICT (Information Communication Technology), VAS (visual analogue scale)Keywords
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Article info
Publication history
Published online: July 30, 2019
Accepted:
July 27,
2019
Received in revised form:
July 15,
2019
Received:
January 28,
2019
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.
