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Master Thesis

Télémédecine : application a la télécardiologie, étude et proposition de financement du réseau aquitain

Abstract : Telecardiology is the application of telemedicine in the area of rythmology. It allows to monitor on the long-term any cardiac event recorded by the cardiac pacemakers (PM) and automatic defibrillators. These are equipped with the wireless Home Monitoring function which are capable of providing on a daily basis automatic information about the patient cardiac condition as well as the implant status. Many studies were conducted on this technology and demonstrated that the remote monitoring minimizes both the need for frequent and close interactions between patients and caregiver and the transport costs and thereby reduces the cost of monitoring each patient. In Aquitaine a telecardiology network has been developed since 2012 and consists of 15 centers and one expert center, the University Hospital of Bordeaux. The aim of the expert center is to centralize the readings of all the alerts. In this center a team of 5 ARC and 1 doctor analyzes daily the alerts of the 3000 patients that are part of the network. The problem is funding this network. Indeed no Act of “Telecardiology” was created in France to date, therefore it is not subject to any reimbursement by the social security. The Aquitaine Telecardiology network is financed by a budget issued from the ARS. This precarious and short-term funding solution is questioned every year. The first part of this thesis presents the concept of the Aquitaine network and assesses it. The second part focuses on the funding. The study of existing French and foreign economic models has enabled the synthesis of 4 funding proposals. A survey of cardiologists and rythmologues peripheral centers has confirmed their willingness to stay in collaboration with the University Hospital of Bordeaux. However the issue of sharing of any reimbursement package remains complicated.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01388015
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, October 26, 2016 - 12:59:15 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:32 PM

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  • HAL Id : dumas-01388015, version 1

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Morgane Privé. Télémédecine : application a la télécardiologie, étude et proposition de financement du réseau aquitain. Sciences pharmaceutiques. 2016. ⟨dumas-01388015⟩

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