A general model for assessment of change in professional practiceswhile shifting to tele-medicine

Nathalie Bricon-Souf (1, 2) , Hervé Pingaud (1)

1 INUC - Institut national universitaire Champollion [Albi]
2 IRIT-SIG - Systèmes d’Informations Généralisées

Implementing telemedicine in a broad scale requires good practices recommendations. In this paper we are describing an assessment model proposed to assess changes in professional practices while shifting to telemedicine. Two dimensions are explored: the care process and the feelings experienced by the involved actors. We proposed a method based on knowledge framework and providing a qualification of the differences about practices and their impacts. Care process is represented through process modeling and helps analyzing practices before and after the introduction of telemedicine. A two dimensions matrix (effects/participants) identifies the impacts of such an operation. This work is performed in the context of a secondary care pilot study for elderly people that implements teleexpertise or teleconsultation. Process analyses highlight important variations according to the institutions and their actual organization of care. The introduction of telemedicine modified the involvement of the care team, lightened the travels for patient and needed reentering of data for health professionals. A matrix evaluation was built in order to ask professionals their experiences. The professional assertions analysis lead to propose 12 criteria highlighting the nature and the challenges emerging with this innovation

Mots clés: Telemedicine; Professional Practice; Evaluation

Domaines: Théorie de l'information [cs.IT]

Nathalie Bricon-Souf, Hervé Pingaud. A general model for assessment of change in professional practiceswhile shifting to tele-medicine. Multi Conference on Computer Science and Information Systems, International Conference on e-Health (MCCSIS), Jul 2019, Porto, Portugal. pp.93-100. ⟨hal-02942301⟩