Avis dermatologiques à distance en Guadeloupe et Martinique : état des lieux et perspectives d’optimisation

Abstract : Introduction There are few dermatologists in Guadeloupe and Martinique. When they request advice from dermatologists, doctors use the new communication technologies. The objective of our study was to evaluate the requests for remote advice received by the dermatologists practising in Guadeloupe and Martinique and to propose avenues of optimization. Method: We conducted a descriptive and cross-sectional survey of dermatologists in Guadeloupe and Martinique between April and June 2018. Each dermatologist received a questionnaire containing a total of twelve open and closed questions. The collected data was processed using the Microsoft Excel 2016® software. The results were presented in numbers. Results: A total of 20 dermatologists answered our questionnaire out of the 29 contacted. Eleven doctors practiced in Martinique and nine in Guadeloupe. Eighteen dermatologists said that they responded to requests for advice from a distance and these requests most often came from general practitioners. The media for these requests were in order of frequency, instant messaging and phone calls followed by unsecured emails. The reasons for the requests concerned mainly diagnostic and / or therapeutic opinions. The difficulties evoked by dermatologists in responding to the solicitations of their colleagues were the lack of time, the poor quality of the photographs and the lack of information. Half of the dermatologists surveyed would prefer to be contacted by secure e-mail. Eleven dermatologists including 9 Martiniquans would be ready to participate in a formalized teledermatology experiment. Conclusion The dermatologists of Guadeloupe and Martinique receive requests for remote notification from their colleagues. These requests for advice come mainly from general practitioners. This activity corresponds to telexpertise but does not meet all the regulatory criteria that define it. We note a desire of several dermatologists to participate in a formalized teledermatology experiment.
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Master Thesis
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Lucie Lerebourg. Avis dermatologiques à distance en Guadeloupe et Martinique : état des lieux et perspectives d’optimisation. Médecine humaine et pathologie. 2018. ⟨dumas-01982658⟩

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