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Master Thesis

Utilisation de la santé mobile en salle d'attente de soins primaires : revue systématique de la littérature

Abstract : Introduction : in France, patients consider that waiting time due to not respecting the appointement time, is the first point on which General practitioners (GPs) need to improve. Because of their negative impact on patient satisfaction, delay and waiting are a barrier to care: 20% of patients admit that waiting can dissuade them from consulting. Moreover, this delay affects GPs both personally and professionally. Despite the efforts made by health professionals to develop communication in the waiting room (WR), these are still insufficient. However, in 2017, behaviours conducive to the use of the internet in the WR were already identified. By anticipating care upstream of the consultation, digital health could save healthcare professionals precious time and reduce patient waiting times. The objective of this study is to produce, based on scientific literature, a detailed description of the different uses of mobile health in primary care WR.
Methodology : a systematic literature review was carried out using the Pubmed, Cochrane, Science Direct, EM premium and grey literature databases. Excluding case studies, all types of studies since 2012 were included. The period of investigation started in October 2019 and ended on 13 August 2020. Methological evaluation of the studies was carried out using the STROBE, CONSORT, PRISMA and COREQ reading grids.
Results : twenty-seven articles were included: a literature review, nine randomized controlled trials, two non- randomized controlled trials, seven observational studies, three qualitative studies, and five mixed studies. Assistance in preparation for upstream consultation, and health promotion were the main uses of mobile health care in primary care WR. This technology was largely dominated by the digital tablet. The use of mobile health care in primary care was marked by knowledge acquisition, better communication, and changes in health-promoting behaviours. However, the ease of use and acceptability of this technology in the health care setting was nuanced by the organisational aspect it implied.
Conclusion : by including the patient in the care process as soon as he enters the WR, mobile health care is a promising means of facilitating communication and health literacy among patients. Nevertheless, its deployment in the health care sector requires collective action and implies identifying the main obstacles to overcome in order to understand the possible obstacles. With the emergence of living- labs and start-ups that have taken up the challenge of connected WR, we can hope to see this concept develop in the coming years.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03409395
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Submitted on : Friday, October 29, 2021 - 4:21:01 PM
Last modification on : Saturday, November 6, 2021 - 3:23:08 AM

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  • HAL Id : dumas-03409395, version 1

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Feryel Bakir. Utilisation de la santé mobile en salle d'attente de soins primaires : revue systématique de la littérature. Médecine humaine et pathologie. 2020. ⟨dumas-03409395⟩

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