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Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Implementation Factors for Wearable Fall Injury Mitigation Technology: A Framework for Technology Adoption.

Richard G Stefanacci¹, Rebecca J Tarbert², Nicole Hemenover³

¹Thomas Jefferson University, Jefferson College of Population Health, Philadelphia, PA, USA; University of Pennsylvania, Philadelphia, PA, USA.

Journal of the American Medical Directors Association

|December 1, 2025

Summary

This summary is machine-generated.

Implementing wearable fall injury mitigation technology in long-term care (LTC) requires assessing organizational readiness, staff engagement, and resident motivation for successful adoption. A practical framework aids leaders in evaluating and improving technology implementation for better outcomes.

Keywords:

Falls injury mitigation long-term care technology implementation wearable technology

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Area of Science:

Gerontology
Health Services Research
Medical Technology

Background:

Falls are a significant risk in long-term care (LTC) settings, leading to injuries and increased healthcare costs.
Wearable fall injury mitigation technologies offer a potential solution to enhance resident safety.

Purpose of the Study:

To identify key factors influencing the adoption of wearable fall injury mitigation technology in LTC.
To develop a practical framework for successful technology implementation in LTC settings.

Main Methods:

A mixed-methods approach was used across ten LTC facilities implementing a wearable airbag device.
Data collection involved quantitative measures (adherence, training) and qualitative analysis (interviews, observations) of organizational, staff, and resident factors.

Main Results:

Overall device adherence was 67%, with an average daily wear time of 8.8 hours.
Three core principles for successful implementation emerged: organizational readiness, staff competency, and resident motivation.
Facilities demonstrating these principles showed significantly higher adoption and sustained engagement.

Conclusions:

Successful technology implementation in LTC necessitates a comprehensive assessment of organizational, staff, and resident domains.
The developed framework offers practical tools for clinical leadership to evaluate readiness and guide interventions.
Findings support broader healthcare innovation adoption in LTC, aiming to improve resident experience, population health, reduce costs, and decrease caregiver burden.