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Master Thesis

L'impact de l'écran d'ordinateur sur la relation médecin-patient dans les cabinets de médecine générale d'Ile-de-France : le point de vue du médecin

Abstract : Introduction: The introduction of computers in physicians’ offices began in the early 1990’s and accelerated since 1999 because obligation was made for doctors to send their invoices electronically to the social security management system. The computer’s entrance in doctor’s office hence happened without any consideration on its possible impact on the doctor-patient relationship during consultation. We will focus on the impact of the computer screen as an interfering object in the relationship. Method: This is a cross-sectional descriptive quantitative non-probabilistic study led in general practitioners’ offices in the Paris region with an online self-administered questionnaire from September to November 2015. Results: Screen content was not visible for the patient in 71% of cases. 2/3 of the doctors would prefer a different configuration of their desktop. 84% used their computer screen to educate patients. 70% claimed looking at their screen less than 30% of the time. Women spent significantly more time looking at it. Time spent looking at the screen was considered too important for 23% and more particularly for the 25-30 year-old doctors. The average grade for the impact of the screen on the relationship was rated +0,603 [±2,350]. Discussion: In our study, computer screen appears well integrated in the consultation, but doctors don’t seem fully aware of all sides of its impact. To reduce the inconvenience the screen causes to the relationship, the main actions would be: a rotating screen used to educate patients, computer typing at appropriate moments, keeping an eye contact with the patient.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01347492
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Submitted on : Thursday, July 21, 2016 - 10:36:37 AM
Last modification on : Friday, March 27, 2020 - 2:21:55 AM

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  • HAL Id : dumas-01347492, version 1

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Lauriane Cazenave-Dury. L'impact de l'écran d'ordinateur sur la relation médecin-patient dans les cabinets de médecine générale d'Ile-de-France : le point de vue du médecin. Médecine humaine et pathologie. 2016. ⟨dumas-01347492⟩

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