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Master Thesis

Pratiques de la télédermatologie : avantages, limites et perspectives : étude qualitative par entretiens auprès de dermatologues

Abstract : Context:
In France, dermatologic demography has been going lower for several years, and this drop is going to continue. Teledermatology is often presented as one of the possible solutions to manage the consultation request. It is already used in various contexts. However some authors indicate that this practice is not an adaptation of medicine to technology, but a new practice, radically different, and that we have to explore this differences before using it widely.
Objective :
Our objective was to characterize the actual teledermatologic practices, especially their advantages and limits compared to the face-to-face ones.
Methods:
A qualitative study was conducted in the Pays de la Loire region using 9 semi-structured interviews of dermatologists, from March 2020 to May 2020. The interviews were recorded and analyzed according to a so-called thematic content analysis.
Results:
The number of teledermatologic acts has increased rapidly due to the COVID 19 epidemic, this growth has shown the potentialities but also the limits of this practice. Dermatologists report an efficient procedure in the sense that it effectively regulates the flow of patients. In particular it allows them to focalize on urgent needs and to provide quick answers when situation permits it. On the other hand, they report a weakly stimulating practice for the dermatologist, and a feeling of frustration due to diagnostic and therapeutic incompleteness. This feeling is also due to an impoverished relation with patient. They conceive a growth of this practice and advocate to maintain it as a tool within a local network of known professionals. They point out the need to identify what can be done with this practice and what cannot be, especially in a context of possible concurrence with artificial intelligence.
Conclusion:
Teledermatology is perceived as an imperfect solution to the problematic of medical desert. It allows an optimization of the medical time management but involves an impoverishment of the physician-patient relation, with a diagnostic and therapeutic frustration. Dermatologists preconize to consider teledermatology and dermatology to be complementary and not competitive, within a local network of known professionals.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03231286
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Submitted on : Tuesday, May 25, 2021 - 1:46:29 PM
Last modification on : Friday, December 3, 2021 - 11:43:51 AM

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  • HAL Id : dumas-03231286, version 1

Citation

Edmond Démoulins. Pratiques de la télédermatologie : avantages, limites et perspectives : étude qualitative par entretiens auprès de dermatologues. Ethique. 2020. ⟨dumas-03231286⟩

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