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Master Thesis

Attentes et représentations des IDE et médecins généralistes de la presqu’île de Quiberon au sujet de la téléconsultation assistée par IDE

Abstract : Introduction : District nurse assisted teleconsultation is a new tool made available to healthcare professionals with the creation of health insurance quotations for doctors in 2018 and for district nurses in January 2020. It could make it possible to respond to problems of care coordination and medical desertification. Objective : The main objective of the study was to collect the perceptions and expectations of nurse districts and general practitioners on the Quiberon peninsula with regards to this new practice, and to compare their different points of view. Materials and Methods : This was a qualitative study based on semi-directed interviews with 5 general practitioners and 14 district nurses practising on the Quiberon peninsula from April 2020 to September 2020. Results : The district nurses and general practitioners of the Quiberon peninsula have a positive perception of district nurse assisted teleconsultation, although they readily report a lack of knowledge of this tool. According to them, assisted teleconsultation should be practised in respect of the care pathway, and mainly for the re-evaluation of stabilised chronic patients and for the follow-up of wounds. This practice seems beneficial to them for the improvement of care coordination, by offering time dedicated to the doctor/nurse dialogue, as well as a more efficient global management due to the cross- examination. It also seems to them to bring a possible saving of medical time, useful in times of medical shortage. However, they fear that patients will refuse this practice, as they may prefer physical contact with the doctor, but also fear the new tripartite relationship (doctor, district nurse, and patient) which is unknown to them until now. Discussion : Although not known to the participants in this study, the recommendations for good practice concerning district nurse assisted teleconsultation are instinctively applied by the participants. The main points of divergence between general practitioners and district nurses lie in its limitations when it comes to implementation, particularly in an emergency context. Better coordination of care can be hoped for because assisted teleconsultation offers dedicated communication time between the doctor and the nurses accompanied by the patient, while offering them an adapted remuneration. However, the saving in medical time hoped for by the participants in our study seems to be undermined, as this practice is envisaged as a complement
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03320905
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Submitted on : Monday, August 16, 2021 - 4:22:31 PM
Last modification on : Saturday, November 27, 2021 - 3:48:07 AM

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  • HAL Id : dumas-03320905, version 1

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Paul-Antoine Guedj. Attentes et représentations des IDE et médecins généralistes de la presqu’île de Quiberon au sujet de la téléconsultation assistée par IDE. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03320905⟩

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