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[Cross-perspectives on telemedicine in nursing homes: a survey of professionals involved in the setting-up of teleconsultations in nursing homes in Rennes area]. / Regards croisés sur la télémédecine en Ehpad : enquête auprès des professionnels impliqués dans la mise en place des téléconsultations dans les Ehpad du territoire rennais.
Cady, Lou; Costes, Marie; Andres, Emilie; Dillinger, Franck; Somme, Dominique.
Afiliación
  • Cady L; Univ Rennes, Département de médecine générale, Rennes, France.
  • Costes M; Univ Rennes, CHU, Service de gériatrie, Rennes, France.
  • Andres E; Univ Rennes, Département de médecine générale, Rennes, France.
  • Dillinger F; Univ Rennes, Département de médecine générale, Rennes, France.
  • Somme D; Univ Rennes, EHESP, CNRS, Inserm, Arènes - UMR 6051, RSMS - U1309 - Rennes, France.
Geriatr Psychol Neuropsychiatr Vieil ; 21(4): 457-467, 2023 Dec 01.
Article en Fr | MEDLINE | ID: mdl-38269559
ABSTRACT
The practice of telemedicine in nursing homes is a solution to improve the quality of care for residents. Its application also seems to be beneficial for the professionals involved, but it faces obstacles. The objective of this study is to explore the effects of the implementation of teleconsultations in nursing homes on the professional practices of the stakeholders involved. A qualitative focus group study was conducted with professionals involved in the implementation of teleconsultations. The data was analyzed using an inductive approach similar to grounded theory. The 18 participants included in the study were unanimous and consensual about the benefits of telemedicine. They observed changes in work relationships, particularly the key role of caregivers in coordinating care. However, they feared a deterioration in doctor-patient relationships. The practice of telemedicine was considered time-consuming, which could hinder its dissemination. No general practitioner participated in this study, showing they had reservations about the practice. The Covid-19 pandemic had an impact on the development of teleconsultations within the institutions involved. Telemedicine is acclaimed by the nursing homes teams and the doctors required, particularly through the effects on training and the added value it can bring to their practice. Telemedicine also allows to provide care that is otherwise not available. However, the care process needs to be simplified. In addition, there are obstacles to the involvement of general practitioners, which should be studied in order to optimize the coordination of care for the residents of the nursing homes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / Consulta Remota / Médicos Generales Tipo de estudio: Qualitative_research Límite: Humans Idioma: Fr Revista: Geriatr Psychol Neuropsychiatr Vieil Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / Consulta Remota / Médicos Generales Tipo de estudio: Qualitative_research Límite: Humans Idioma: Fr Revista: Geriatr Psychol Neuropsychiatr Vieil Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia