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Background: Mild cognitive impairment (MCI) is a stage preceding dementia, and early intervention is critical. This study investigated whether multi-domain cognitive training programs, especially robot-assisted training, conducted 12 times, twice a week for 6 weeks can improve cognitive function and depression decline in community-dwelling older adults with mild cognitive impairment (MCI). Methods: A randomized controlled trial was conducted with 135 volunteers without cognitive impairment aged 60 years old or older. Participants were first randomized into two groups. One group consisted of 90 participants who would receive cognitive training and 45 who would not receive any training (NI). The cognitive training group was randomly divided into two groups, 45 who received traditional cognitive training (TCT) and 45 who received robot-assisted cognitive training (RACT). The training for both groups consisted of a daily 60 min session, twice a week for six weeks. Results: RACT participants had significantly greater post-intervention improvement in cognitive function (t = 4.707, p &lt, 0.001), memory (t = −2.282, p = 0.007), executive function (t = 4.610, p &lt, 0.001), and depression (t = −3.307, p = 0.004). TCT participants had greater post-intervention improvement in memory (t = −6.671, p &lt, 0.001) and executive function (t = 5.393, p &lt, 0.001). Conclusions: A 6-week robot-assisted, multi-domain cognitive training program can improve the efficiency of global cognitive function and depression during cognitive tasks in older adults with MCI, which is associated with improvements in memory and executive function.

e18329 Background: Watson For Oncology (WFO) is an artificial intelligence (AI) tool that presents therapeutic options to oncologists and patients at 9 hospitals in Korea. The earliest user is Gachon University Gil Medical Center (GMC), where the tumor board (MDT) is fully integrated with WfO (MDT-WfO). GMC patients and oncologists may select one of the treatment choices presented by MDT-WfO or choose to follow recommendations of one or more oncologists at GMC augmented by WfO (non-MDT-WfO). This study is aimed at determining the satisfaction of patients who pursue shared decision-making through the MDT-WfO approach. Methods: Cancer patients enrolled in this IRB-approved study and treated at GMC between March and September of 2018 were surveyed. All patients rated satisfaction levels from 1-10 after treatment decision-making was completed, with 1 indicating the lowest level of satisfaction and 10 the highest. For each question, the average satisfaction score for patients in the MDT-WfO group was compared to the mean for patients in the non-MDT-WfO group, with a t-test for significance. Results: There were 9 cancer types treated at GMC from March through September of 2018. Of the of 290 patients enrolled in this study, 130 (44.8%) selected MDT-WfO and 160 (55.2%) did not. Overall, patients that interacted with MDT-WfO viewed GMT more positively (86.9%) after treatment decisions had been made than patients in the non-MDT-WfO group (71.3%).Although patients did not report significantly differing levels of satisfaction for most survey questions, there was a significant difference in terms of satisfaction with the explanation they received from the medical staff. Satisfaction level for this item was 9.52 with MDT-WfO and 9.22 points without ( p = 0.029). Conclusions: Patients reported greater satisfaction in the explanations they received in the MDT-WfO group, consistent with their more positive impression of GMT after treatment decisions were made. More studies are needed to determine if the increase in the level of satisfaction for this item is due to explanations from MDT unrelated or related to WfO. More studies on how WfO is used differently by the tumor board and individual oncologists may provide a unique perspective on how WfO is integrated into the MDT.

Background/Objectives: There is a growing need of hospice palliative care for noncancerous diseases. This study analyzed the medical utilization for non-cancer terminal patients during the last year of their lives. Methods/Statistical analysis: This is a cross-sectional study, analyzing the National Health Insurance data of one year before death. The death data of the National Statistical Office (NSO) merged to the data of National Health Insurance (NHI). The cause of death is classified into cancer and 12 non-cancer diseases. Medical expenses are divided into total medical expenses and insurer contribution. Findings: By the cause of death, the disease with the highest medical expense per patient was kidney disease, Human Immunodeficiency Virus (HIV) came second, followed by Amyotrophic Lateral Sclerosis (ALS), cancer, Parkinson`s disease, Chronic Obstructive Pulmonary Disease (COPD), stroke, liver disease, Congestive Heart Failure (CHF), other lung disease, and dementia. On average the insurer contribution rate was 85.8% of the total medical expenses, but the rate of cancer and HIV covered by hospice palliative care was higher than the average. The disease with the highest out-pocket payment burden was dementia. Improvements/Applications: Considering the medical expenses of non-cancer terminal illness patients, the hospice palliative care should be extended to non-cancer patients as well as cancer patients in Korea.

The purpose of this study was to classify advanced nursing practices of Infection Control Nurse Practitioners (ICNPs) and measure workload of the practitioners' activities. The workload was measured with the Resource Based Relative Value Scale (RBRVS), the frequency and the nursing time. Nineteen practices were classified as advanced nursing practices of ICNPs. The calculated scores of the RBRVS for the 19 advanced nursing practices ranged from 100.0 to 386.1 points. The average of frequency and time for the practices were 2.45 and 78 minutes 74 seconds. The practices of ICNPs are considered to be an alternative to decrease healthcare related infection incidences and improve the quality of services in hospitals.

This study aimed to develop a nursing fee for advanced nursing practices done by critical care nurse specialists (CCNSs). The nursing fee for the 20 advanced nursing practices was calculated by multiplying the resource based relative value scale (RBRVS) of the each practice and the conversion factor. Most practices of CCNSs belonged to the category of less than 10,000 KRW. In order to improve efficient utilization of medical manpower in intensive care units, the employment of nurse specialists in hospitals is thought to have the national benefits.