Les pratiques médicales et soignantes à distance

Gaglio, Gérald; Mathieu-Fritz, Alexandre

doi:10.3917/res.207.0009

Cited by 19 publications

(6 citation statements)

References 13 publications

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“…Dans le présent article, on entend par téléconsultation la prestation d'activités cliniques à l'aide d'une consultation virtuelle bilatérale et simultanée, par transmission vidéo et audio, entre un patient et un membre du personnel soignant qui ne se trouvent pas physiquement au même endroit [1]. Ce dispositif est l'une des applications émergentes de la télémédecine, un champ plus vaste qui se définit comme « une forme de pratique médicale à distance utilisant les technologies de l'information et de la communication [TIC] » [2]. En ce sens, la téléconsultation appuie les activités reliées à la prestation des services de santé à distance et assure la continuité des soins lorsqu'une rencontre face à face traditionnelle n'est pas possible.…”

Section: Problématique La Téléconsultation Et La Covid-19 : Un Cataly...unclassified

“…Les avantages liés à la téléconsultation sont nombreux : 1) elle constitue une solution prometteuse pouvant améliorer la prise en charge des patients qui n'ont pas accès à un spécialiste ou, dans la majorité des cas, un médecin de famille ; 2) elle offre la possibilité de réduire les délais et les coûts financiers et du même coup : 3) elle augmente la disponibilité des soins pour l'ensemble de la population [1][2][3]. Au-delà de ses mérites, la téléconsultation occupe une place centrale auprès de la population atteinte de polypathologies et de maladies chroniques exigeant un accompagnement complexe et interdisciplinaire [2]. Un patient consulte rapidement et, dans certains cas, simultanément tous les membres de l'équipe impliqués dans ses soins.…”

Section: Problématique La Téléconsultation Et La Covid-19 : Un Cataly...unclassified

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La téléconsultation et la Covid-19: pour un renouvellement des pratiques professionnelles face aux enjeux de formation

Dorion

Dionne

2022

Pédagogie Médicale

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Contexte: En ce temps de pandémie de Covid-19, la téléconsultation, qui permet de communiquer avec un professionnel de la santé qui n’est pas au même endroit, évolue rapidement, car elle représente une façon novatrice d’assurer des services de soins de santé à distance. Un tel dispositif s’accompagne d’une réorganisation du travail collaboratif entre les différents acteurs impliqués et crée un cadre thérapeutique unique impliquant des mutations dans la relation soignant-patient. Bien que la téléconsultation génère une nouvelle façon de travailler et de nouvelles compétences professionnelles, force est de constater que l’offre de formation pour les futurs professionnels de la santé quant à l’utilisation de ce dispositif est lacunaire. Cela est d’autant plus flagrant dans le contexte actuel de la Covid-19 où le renouvellement des pratiques est une occasion privilégiée pour repenser à l’intégration de cette technologie et aux enjeux de formation pour les futurs professionnels de la santé. Objectif: Cet article présente un point de vue critique sur la téléconsultation en montrant les besoins de formation que cette dernière impose et des pistes de formation afin de développer les compétences nécessaires à sa mise en œuvre.

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Section: Problématique La Téléconsultation Et La Covid-19 : Un Cataly...unclassified

La téléconsultation et la Covid-19: pour un renouvellement des pratiques professionnelles face aux enjeux de formation

Dorion

Dionne

2022

Pédagogie Médicale

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“…Despite its potential benefits, telemedicine, especially in elderly care facilities known as EHPADs, faced adoption challenges until the pandemic. Implementing information technology in healthcare settings is complex, often encountering obstacles related to processes, organizational cultures, and user training [5].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine for Nursing Homes: An Innovative Solution in the Val-de-Marne Region (France)

Dekmak,

ElGerges

2023

EJMED

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Introduction: Telemedicine is an innovative solution that enables the remote care of patients through digital technology. This method is particularly interesting for nursing homes (EHPAD) that accommodate often frail elderly individuals requiring constant medical monitoring. The aim of this thesis is to verify the relevance of telemedicine as a tool for teleconsultation and tele-expertise within nursing homes. Objectives: To determine whether telemedicine can be considered an effective means for teleconsultation and tele-expertise within nursing homes. The secondary objective is to assess the implementation of telemedicine in these establishments, and the skills and obstacles of the caregiving teams regarding the use of telemedicine. Results: Numerous nursing homes lack the necessary equipment and human resources for telemedicine. However, the implementation of a concerted medical project, adequate support, and training, as well as enhanced communication among stakeholders, can promote the development of telemedicine as a tool to improve the quality of care for the elderly in nursing homes. Conclusion: Telemedicine can be a relevant solution for enhancing the medical care of the elderly in nursing homes, but its application is limited by a lack of specialized equipment and human resources. To address these gaps, it is recommended to establish concerted medical projects, improve training and practices, enhance communication among stakeholders, and reconsider logistics. These recommendations could enable better adoption and utilization of telemedicine in nursing homes, thereby benefiting patients, caregivers, and establishment management.

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“…The beginning of telemedicine in France dates to the 1990s [7]. However, it was not until 2009 that the Hospital, Patients, Health, and Territory law was put in place to regulate telemedicine practices.…”

Section: Introductionmentioning

confidence: 99%

The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey

Touzani¹,

Dembele²,

Schultz³

et al. 2023

J Med Internet Res

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Background The development of telehealth and telemedicine, in the form of increased teleconsultation and medical telemonitoring, accelerated during the COVID-19 health crisis in France to ensure continued access to care for the population. Since these new information and communication technologies (ICTs) are diverse and likely to transform how the health care system is organized, there is a need better to understand public attitudes toward them and their relationship with peoples’ current experience of health care. Objective This study aimed to determine the French general population’s perception of the usefulness of video recording/broadcasting (VRB) and mobile Health (mHealth) apps for medical consultations in France during the COVID-19 health crisis and the factors associated with this perception. Methods Data were collected for 2003 people in 2 waves of an online survey alongside the Health Literacy Survey 2019 (1003 in May 2020 and 1000 in January 2021) based on quota sampling. The survey collected sociodemographic characteristics, health literacy levels, trust in political representatives, and perceived health status. The perceived usefulness of VRB in medical consultations was measured by combining 2 responses concerning this technology for consultations. The perceived usefulness of mHealth apps was measured by combining 2 responses concerning their usefulness for booking doctor appointments and for communicating patient-reported outcomes to doctors. Results The majority (1239/2003, 62%) of respondents considered the use of mHealth apps useful, while only 27.6% (551/2003) declared VRB useful. The factors associated with the perceived usefulness of both technologies were younger age (≤ 55 years), trust in political representatives (VRB: adjusted odds ratio [aOR] 1.68, 95% CI 1.31-2.17; mHealth apps: aOR 1.88, 95% CI 1.42-2.48), and higher (sufficient and excellent) health literacy. The period of the beginning of the COVID-19 epidemic, living in an urban area, and being limited in daily activities were also associated with perceiving VRB positively. The perceived usefulness of mHealth apps increased with the level of education. It was also higher in people who had 3 or more consultations with a medical specialist. Conclusions There are important differences in attitudes toward new ICTs. Perceived usefulness was lower for VRB than for mHealth apps. Moreover, it decreased after the initial months of the COVID-19 pandemic. There is also the possibility of new inequalities. Hence, despite the potential benefits of VRB and mHealth apps, people with low health literacy considered them to be of little use for their health care, possibly increasing their difficulties in accessing health care in the future. As such, health care providers and policy makers need to consider those perceptions to guarantee that new ICTs are accessible and beneficial to all.

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Les pratiques médicales et soignantes à distance

Cited by 19 publications

References 13 publications

La téléconsultation et la Covid-19: pour un renouvellement des pratiques professionnelles face aux enjeux de formation

La téléconsultation et la Covid-19: pour un renouvellement des pratiques professionnelles face aux enjeux de formation

Telemedicine for Nursing Homes: An Innovative Solution in the Val-de-Marne Region (France)

The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey

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