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Master Thesis

La téléconsultation du médecin généraliste en zone rurale fragile : vers une nouvelle forme d’inégalité d’accès aux soins ?

Abstract : Patients in medically underserved areas are experiencing increasing difficulties to access health care. Teleconsultation is offered to improve this access but raises questions in the context of digital divide. A qualitative study was conducted in a rural medically underserved area on patients who do not have any experience of general practitioner teleconsultation. Patients were asked about apprehension regarding teleconsultation with a GP. This study highlighted several key points to take into account before spreading medical teleconsultation. Teleconsultation can be seen as a threat to the privileged relationship established between the patient and their "family doctor". Also, it is symbolic of further abandonment of essential services being not ensured anymore in these territories, with a feeling of being downgraded. The issues related to access and to digital skills are not the only ones to be taken into account when analyzing the digital divide. It is also important to consider the meanings of ICT (Information and Communication Technology) since some people also desire to be independent from ICT. In this context, the deployment of teleconsultation cannot take place without first ensuring the patient’s willingness to use it, and secondly verifying the real social progress it brings. An ethical review is therefore required before and during the roll-out of this new type of consultation. Without doing so, general practitioner teleconsultation is at risk of creating new inequalities as regards access to health care.
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https://dumas.ccsd.cnrs.fr/dumas-03521622
Contributor : Céline Collyer Connect in order to contact the contributor
Submitted on : Tuesday, January 11, 2022 - 4:45:06 PM
Last modification on : Saturday, January 15, 2022 - 3:45:02 AM

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Memoire M2 Ethique - MARTIN Th...
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  • HAL Id : dumas-03521622, version 1

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Théophile Martin. La téléconsultation du médecin généraliste en zone rurale fragile : vers une nouvelle forme d’inégalité d’accès aux soins ?. Santé publique et épidémiologie. 2021. ⟨dumas-03521622⟩

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