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Master Thesis

Mise en place de la téléexpertise dermatologique SmartDerm pour les médecins généralistes et les dermatologues du Lot-et-Garonne entre septembre 2018 et juin 2019

Abstract : Introduction: from October 2018 until June 2019, the Bordeaux University Hospital has tested the SmartDerm teledermatology consultation system in the department of Lot-et-Garonne in order to mitigate medical desertification. The objective of this study was to analyze the use of SmartDerm by the general practitioners after 35 weeks of use. The primary endpoint was the average number of cases referred by general practitioner (GP) per week. Methods: the user data of the teleexpertise system were analyzed and a satisfaction questionnaire was sent to GPs and dermatologists of Lot-et-Garonne. Results: 26 GPs and one intern trained and equipped with the PAACO application sent at least one request for teleexpertise during this period. They sent 171 requests for teleexpertise, which corresponds to an average of one request per GP every 5 weeks and a half. This corresponds to 6 requests on average per doctor over the period. The average duration of a request for teleexpertise is 10 minutes. The median is 2 photos per request. 93% of the answers of teleexpertise are obtained by the applicant in less than 3 days. 57% of patients avoided face-to-face dermatological consultation. 18 of the 26 general practitioners (8 did not respond) and the intern were very satisfied with SmartDerm and considered that it has improved patient care. The experience of each user was evaluated by the System Usability Scale score; the average was 77 out of 100. It was positively related in a statistically significant way only at an input duration of less than 10 minutes. Conclusion: the number of requests for teleexpertise is lower than the average of 1 request every 2 weeks estimated during a preliminary study among training supervisors of New Aquitaine. The low level of involvement of level 1 dermatologists, the impossibility of coding teleexpertise acts to be paid for, and the time spent using the application may explain a lower than expected use of this teleexpertise system.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02531671
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, April 3, 2020 - 5:55:24 PM
Last modification on : Thursday, October 15, 2020 - 2:34:23 PM

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Élodie Gauthier-Lucas. Mise en place de la téléexpertise dermatologique SmartDerm pour les médecins généralistes et les dermatologues du Lot-et-Garonne entre septembre 2018 et juin 2019. Médecine humaine et pathologie. 2020. ⟨dumas-02531671⟩

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