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Évaluation de l’efficacité d’une unité virtuelle post-hospitalisation

Responsables : Isabelle Vedel, RRAPPL Université McGill et le Dr Bernardo Kremer, Hôpital général juif, Centre de médecine familiale Herzl

It is common for older people with different health problems to be admitted to the hospital. Upon discharge, they are left on their own and many return to the hospital or the ER. The goal of this participatory research project is to determine the effectiveness of a Family Medicine based Virtual Ward, offering a proactive follow-up program to older patients with complex needs. The intervention includes phone calls by a dedicated nurse, home visits by a family doctor, and multidisciplinary discussions about the patient (specialists, pharmacists). Ultimately, we expect to reduce the number of preventable readmissions based on research evidence.

Résultats :

Affiches présentées à NAPCRG en novembre 2016 :

Nouvelles HGJ octobre 2016 :



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