La prise de rendez-vous sur Internet, modifie-t-elle la corrélation entre l’accès aux soins et la vulnérabilité sociale ?

Abstract : Introduction: Making online appointments is a developing practice in general medicine. Online appointments have many advantages, but is there not a risk of worsening the social gradient of access to care? The objective: To find a difference of ease of access to care (EAC) for precarious and non-precarious patients, depending on the possibility of making online appointments. Materials and methods: This is a prospective epidemiological study, for a medical thesis. A self-administered questionnaire was proposed to patients from 8 practices (4 pairs). The questionnaire included the EPICES score (Assessment of Precariousness and Health Inequalities in Health Examination Centers) for the evaluation of precariousness and an EAC score (numerical scale from 0 to 10). Results: 194 patients were included, 91 in group 1 (appointments possible via internet) and 103 in group 2 (control). Patients in group 1 were younger (47.22 years versus 57.01 years, p-value = 0.00011). There is no statistically significant difference in the EAC score between precarious and non-precarious patients in both groups (p-value = 0.22050). A correlation link between the EPICES score and the EAC score was highlighted in group 2, reflecting the social gradient of access to care. It was not found in group 1. Conclusion: As online appointments are very seldom the only way to make an appointment in general medicine, they do not seem to aggravate the social gradient of access to care. However, we must remain cautious with their uses, because an exclusion of the elderly is possible.
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Master Thesis
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Corentin Bonnette, Joël Fauché. La prise de rendez-vous sur Internet, modifie-t-elle la corrélation entre l’accès aux soins et la vulnérabilité sociale ?. Médecine humaine et pathologie. 2018. ⟨dumas-01978490⟩

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