Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the prevalence of chronic diseases and their effects, and thus the need for increased care and welfare.

This solutions give a new opportunity for diagnosis, treatment, education, and rehabilitation, and make it possible to monitor patients with a number of chronic diseases. It also reduces socioeconomic disparity with regard to access to care and gives equal chances to patients from urban and rural areas.

This a randomized trial of telemedicine versus usual care alone to reduce hospitalization and emergency hospital admissions for Nursing Home Residents .

After an initial assessment , each participant is monitored by teleconsultation on six occasions over 12 months. Patients with usual care have an initial and a 12 months assessments.

Inclusion Criteria:

• Elderly over 60 years

  • Resident in nursing homes
  • Resident with multiples chronic diseases with at least two comorbidities
  • Having given free and informed consent in writing and signed by himself and / or his legal representative

Exclusion Criteria:

• Resident unaffiliated or not beneficiary of Social Security
• Resident with a life-threatening disease