Enquête sur la pratique de la téléconsultation médicale en oncologie en Auvergne Rhône Alpes

Lantheaume, Sophie; Lebosse, William; Doublet, Louis; Mory, Jean-Eudes; Heudel, Pierre

doi:10.1016/j.bulcan.2022.05.013

Cited by 2 publications

(3 citation statements)

References 11 publications

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“… 10 Several studies evaluating physician satisfaction have shown that teleconsultation can be integrated into the daily management of cancer patients. 11 – 15 These studies confirm that teleconsultation ensures continuity of care (hence its rise during the COVID-19 pandemic) and that it does not affect the doctor–patient relationship, or the quality of care offered. However, recurring technical problems, difficulties associated with certain patient profiles and perhaps entrenched habits mean that a majority of physicians who responded to our questionnaire still prefer a face-to-face physical consultation to teleconsultation.…”

Section: Introductionmentioning

confidence: 60%

“…It follows and complements a quantitative survey that was conducted by means of a questionnaire from April to October 2021. 15 This study was approved by the Center Léon Bérard institutional review board and by the Auvergne Rhône-Alpes Regional Health Authority. The survey was conducted from October 2021 to April 2022.…”

Section: Methodsmentioning

confidence: 99%

“…During the online survey, 15 28 oncologists out of 64 participants agreed to be contacted by email for semi-structured interviews. The participants were therefore a sample of oncologists practicing in the French Auvergne-Rhône-Alpes region.…”

Section: Methodsmentioning

confidence: 99%

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A qualitative study of teleconsultation practices among French oncologists in a post-COVID-19 period

Lantheaume,

Doublet,

Mory

et al. 2023

DIGITAL HEALTH

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Background The Covid-19 pandemic has prompted healthcare professionals to adapt and implement new tools to ensure continuity of patient care. Teleconsultation became the only option for some practitioners who had never used it previously and boosted its use for others who already used it. Several studies have reviewed the use of teleconsultation in oncology during the epidemic, but few have addressed its continued use and how practitioners view it in a post-epidemic period. The aim of this survey was to conduct a qualitative exploration of how oncologists use teleconsultation in their daily practice in a post-COVID 19 period. Materials and Methods For this qualitative study, semi-structured interviews were conducted with oncologists in France who utilized teleconsultation in the field of oncology during the COVID-19 period. The interview guide included questions on the interests and limitations of using teleconsultation in oncology, on reluctance to use it among oncologists, and invited participants to formulate proposals for more optimal use. Results Fourteen oncologists participated in the survey. Currently, 12% of the consultations of the surveyed practitioners are conducted via teleconsultation. Seven themes were identified in the analysis of the interviews: (a) The oncologist and teleconsultation; (b) Clinical motivations for using teleconsultation; (c) Comparison between teleconsultation and in-person consultation; (d) Advantages and disadvantages of teleconsultation; (e) Technical modalities of teleconsultation; (f) Role of Covid and confinement in the use of teleconsultation; (h) Epistemic judgments about teleconsultation. Optimal teleconsultation occurs when seamlessly incorporated into patient care, offering reduced patient inconvenience, and providing economic and environmental benefits. Although there's a lack of unified agreement in research literature regarding time efficiency, teleconsultation facilitates more customized patient monitoring and addresses the challenge of “medical deserts” nationally. Considering patient preferences is crucial when contemplating the use of teleconsultation. Predominantly, technical issues stand as the principal barriers to teleconsultation implementation. Conclusion Even after the end of the health crisis, teleconsultation is still used in clinical practice. Recommendations for effective use are suggested.

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