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Master Thesis

Étude de satisfaction de la télépsychiatrie durant la pandémie liée au Covid-19 : une expérience niçoise

Abstract : Introduction: In 2020, the pandemic linked to COVID-19 (SARS-CoV-2 virus) suddenly changed our medical practices by interrupting all consultations in hospitals and private psychiatric offices, except in emergencies or special cases, in order to to respect the national containment measure. Many studies agree that in addition to the anxiety-provoking effect of contamination by infection, there is a psychological impact of confinement of a population; and which in itself justifies special vigilance, both in general and vulnerable populations, in psychiatry. In this context, teleconsultation (remote consultation) has been proposed to allow the continuity of psychiatric care and avoid a risk of decompensation of disorders; while limiting the spread of the virus by accelerating the movement of the population in order to protect health workers and patients.
Material and method: This is a non-interventional multicenter retrospective study including a satisfaction survey carried out by means of separate questionnaires (patient and psychiatrist), within several psychiatric consultation centers in Nice (liberal psychiatry offices, medico-psychological center and psychiatric consultations at the Nice Center CHU). The inclusion period for patients and physicians who teleconsulted during childbirth extended over 2.5 months. Teleconsultations included consultations by video transmission as well as simple telephone consultations. For statistical analysis, a p value Results: About 100 patients participated in our study, as well as about 20 psychiatrists. The overall satisfaction rate was 94% among patients and better among patients followed in liberal psychiatry. The overall satisfaction rate was 40% among psychiatrists, and this difference was significant, which could be explained by consultations felt as more trying by psychiatrists than by patients. Acceptability was excellent in both groups: 75% of patients said they were very comfortable during the teleconsultation and 63% were able to express themselves freely in the same way as in college. More than 50% of patients and doctors declared that they would have accepted this type of care outside of these circumstances and more than 40% would be ready to continue in this mode of consultation in the future. Some limitations remained, in particular for the prescription of therapy or additional or specific examinations. But also, and more particularly among patients, reluctance based on cultural beliefs about the proper conduct of a medical consultation. Video transmission appeared to be more effective for over 50% of physicians and patients than telephone consultations. Likewise, it seemed to be equivalent to a face-to-face consultation for physicians and patients who may have performed it. Better satisfaction and a feeling of equivalent effectiveness of outpatient telemedicine care were found among patients and independent psychiatrists.
Conclusion: The teleconsultation was satisfactory and well received by patients and psychiatrists in the context of outpatient psychiatry monitoring during the Covid-19 pandemic. It represented a completely acceptable and effective means (especially in video transmission) of maintaining the continuity of medical care and thus limiting the risk of decompensation of psychiatric disorders increased by the overall impact of confinement. The material, organizational and financial means (repayment terms) necessary for the deployment of teleconsultation must be optimized; as well as better awareness and training of users in this practice. All this with a view to better management of a health crisis and prevention of a new pandemic in the future.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03110496
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Thursday, January 14, 2021 - 4:19:03 PM
Last modification on : Wednesday, May 5, 2021 - 3:16:01 AM

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Géraldine Pendaries. Étude de satisfaction de la télépsychiatrie durant la pandémie liée au Covid-19 : une expérience niçoise. Médecine humaine et pathologie. 2020. ⟨dumas-03110496⟩

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