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Télémédecine et urgences : pertinence de la réponse d'un centre de réception et de régulation des appels

Abstract : The principal objective of this study was to assess the adequacy of the response of an Emergency Medical Assistance (EMS) call reception and dispatch centre (CRDC) to telephone calls for medical emergencies. The study also aimed to evaluate the medico-economic consequences of call management by this type of call centre, as well as the impact of unusual public health events on the activities of the CRDC. With a view to this, prospective, comparative and observational clinical studies were conducted. The main results show that the recourse to telemedicine constitutes an appropriate response to emergency medical calls in terms of efficiency and satisfaction. With regard to benign but frequent indicator complaints, such as fever or gastroenteritis, or indeed severe pathologies which arise as part of rare medical conditions such as hereditary angio-oedema, distant telephone advice resulted in excellent patient compliance and was an appropriate response. Medico-economic analysis demonstrated a societal benefit from the medical telephone advice delivered by the CRDC. It was also shown that unusual public health situations could be detected through changes in the activity of a CRDC. Together these studies allow, for the first time, to objectively measure the appropriateness of medical call management. The results demonstrate a real benefit to patients, as well as a medicoeconomic efficiency in terms of healthcare use such as Emergency Department attendances or General Practice consultations. This study opens the path to future research into the efficiency of telemedicine.
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Submitted on : Wednesday, February 26, 2020 - 5:18:09 PM
Last modification on : Sunday, October 25, 2020 - 7:04:22 AM
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  • HAL Id : tel-02492212, version 1


Paul Georges Reuter. Télémédecine et urgences : pertinence de la réponse d'un centre de réception et de régulation des appels. Sociologie. Université Sorbonne Paris Cité, 2018. Français. ⟨NNT : 2018USPCD035⟩. ⟨tel-02492212⟩



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