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Master Thesis

Étude qualitative sur l’intérêt des objets connectés de santé pour le maintien à domicile du sujet âgé : point de vue du médecin généraliste

Abstract : Since a few decades, the elderly population is growing and the vast majority of the French population wish to age at home. This demographic growth requires rapid adaptations from our health system. The recent development of E-health, especially with the expanding disponibility of Health Connected Objects (HCO), could be an interesting alternative to help the elderly stay at home. Our main objective was to evaluate the knowledge and experience of General Practitioners (GPs) concerning HCO. We also aimed to understand the troubles they encountered when visiting patients at their homes in order to show the positive implications of HCO. The secondary objective was to describe the possible sources of funding for HCO, in regards of their Public Health interest. Methods: we designed this qualitative study, which is more adequate for our comprehensive objective. General Practitioners were individually interviewed using semi-directive questions until data saturation. After retranscription of every interview, a thematic analysis of verbatim was done. Results: from november 2017 to february 2018, 13 GPs working in the Occitanie region were interviewed. The HCO seemed to have profitable aspects in the GP conventional practice. Our study could help see through situations such as autonomy loss, falls, usual care of elderly people living by their own, prevention, diagnosis, therapeutic and even pronostic information. The HCO were also a help for the entourage of these patients. Furthermore, this study also showed the limits of the HCO: notably the considerable amount of time it takes for the GP to get used to them, the feeling of intrusion for some people and the difficulty it could be for people who are not used to connected objects to manipulate them. The funding of the HCO also seemed to be a major issue. This subject was unclear for most of the GPs who wished they had more information and eventually some continuous medical formation about it. Conclusion: the HCO might have a real interest to help the elderly to stay at home, regarding medical care as well as help for the entourage and the patient themselves. The potential for these objects are relatively great in the medical field, but must respond to educational, financial, legislative and regulatory imperatives which are still not sufficient.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03238412
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Virginie Ramay. Étude qualitative sur l’intérêt des objets connectés de santé pour le maintien à domicile du sujet âgé : point de vue du médecin généraliste. Médecine humaine et pathologie. 2018. ⟨dumas-03238412⟩

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