Motivations of French Physicians to Perform Teleconsultations During COVID-19: A Mixed-Method Study

Cormi, Clément; Ohannessian, Robin; Sanchez, Stéphane

doi:10.1089/tmj.2020.0524

Cited by 13 publications

(8 citation statements)

References 15 publications

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“…In the context of a highly contagious communicable disease, telemedicine is a useful alternative to usual care [ 16 ], with potential applications in epidemic situations [ 17 ]. The recommendations for social distancing and lockdown during the COVID-19 pandemic led to a surge in the use of telemedicine solutions [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France

Cormi

Sanchez

l’Estoile

et al. 2021

IJERPH

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Pandemics are difficult times for the mental health of healthcare professionals, who are more likely to present with PTSD-like symptoms. In the context of a highly contagious communicable disease, telemedicine is a useful alternative to usual care, and should be considered as a means to support healthcare professionals’ mental health. This is a multicenter (n = 19), cross-sectional study, based on a 27-item questionnaire, aiming to investigate the acceptability to healthcare workers of a telepsychiatry service as a means of providing mental health support during the COVID-19 pandemic. Between October and December 2020, 321 responses were received, showing that women, caregiving staff, and those directly involved in the care of COVID-19 patients are less favorable to the idea of receiving remote support. In our population, barriers were related to the clinical setting or ethics, and most of the respondents would not accept a drug prescription by telepsychiatry. Although telepsychiatry should be a part of the armamentarium of mental health management, it is not suitable as a stand-alone approach, and should be combined with conventional face-to-face consultations.

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Section: Introductionmentioning

confidence: 99%

Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France

Cormi

Sanchez

l’Estoile

et al. 2021

IJERPH

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“…In addition, the fear of giving the virus to family or patients has also been shown to have been a source of stress for healthcare professionals [19][20][21]. In this regard, the use of telemedicine progressed substantially, notably during the periods of lockdown, and represents a viable alternative to traditional face-to-face consultations [9,22].…”

Section: Discussionmentioning

confidence: 99%

“…To cope with this major crisis for the healthcare system, nationwide measures that had profound effects on our manner of living and working were implemented, including border closures, lockdown, restrictions on population movement, school closures, mandatory mask-wearing etc. The crisis also led to a profound upheaval in healthcare delivery, notably with major changes to primary and ambulatory care [6], by adapting the rhythm of consultations and appointments, reorganizing patient flows through surgeries and offices, implementing strict hygiene measures, and increasingly using telemedicine solutions [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Experience of Primary Care Physicians in the Aube Department, France, Regarding the COVID-19 Crisis

et al. 2022

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Background: General practitioners (GPs) played a decisive role during the COVID-19 epidemic, particularly in the identification and care of patients at home. This study aimed to describe the primary care physicians’ perceptions of the COVID-19 crisis and to guide future decisions regarding measures to prolong, abrogate, or improve upon methods for crisis management. Methods: This is a cross-sectional study based on a 30-item questionnaire aiming to investigate how primary care physicians (GPs) working in the rural Aube Department experienced the COVID-19 crisis. Results: Among the 152 respondents, 60.5% were not satisfied with the level of information from authorities during the crisis. By multivariate analysis, a feeling of having been adequately informed (OR 21.87, 95%CI 4.14–115.53) and a feeling that non-COVID-19-related diseases were adequately managed (OR 6.42, 95%CI 1.07–38.51) were both significantly associated with an overall satisfaction with the management of the crisis. Conclusion: This study about rural primary care physicians in Eastern France highlights some of the weaknesses of the French healthcare system in terms of the provision of primary care during the epidemic. A leading cause of dissatisfaction was that the information relayed by the health authorities about the disease and its management largely overlooked the primary care providers, many of whom had to rely on traditional media to obtain information.

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“…A mixed-method analysis was performed using both quantitative and qualitative methods. It was conducted since it provides a good understanding of large and complex environments such as those faced in telemedicine activities [ 34 , 35 ]. Based on the Caffery et al method, we used a sequential, explanatory design starting with a quantitative analysis and continuing with a qualitative study to better understand the results [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

“…The data of the qualitative study used a thematic analysis approach with the aim of identifying and categorizing the various themes occurring across all interviews in a cross-sectional manner [ 35 , 38 ]. Each theme was then considered as a meaningful and independent unit of discourse.…”

Section: Methodsmentioning

confidence: 99%

The Use of Telemedicine in Nursing Homes: A Mixed-Method Study to Identify Critical Factors When Connecting with a General Hospital

Cormi

Chrusciel

Fayol

et al. 2021

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Evaluating the use and impact of telemedicine in nursing homes is necessary to promote improvements in the quality of this practice. Even though challenges and opportunities of telemedicine are increasingly becoming well documented for geriatrics (such as improving access to healthcare, patient management, and education while reducing costs), there is still limited knowledge on how to better implement it in an inter-organizational context, especially when considering nursing homes. In this regard, this study aimed first to describe the telemedicine activity of nursing homes when cooperating with a general hospital; and then understand the behavioral differences amongst nursing homes while identifying critical factors when implementing a telemedicine project. We conducted a sequential, explanatory mixed-method study using quantitative then qualitative methods to better understand the results. Three years of teleconsultation data of twenty-six nursing homes (15 rural and 11 urban) conducting teleconsultations with a general hospital (Troyes Hospital, France) were included for the quantitative analysis, and eleven telemedicine project managers for the qualitative analysis. Between April 2018 and April 2021, 590 teleconsultations were conducted: 45% (n = 265) were conducted for general practice, 29% (n = 172) for wound care, 11% (n = 62) for diabetes management, 8% (n = 47) with gerontologist and 6% (n = 38) for dermatology. Rural nursing homes conducted more teleconsultations overall than urban ones (RR: 2.484; 95% CI: 1.083 to 5.518; p = 0.03) and included more teleconsultations for general practice (RR: 16.305; 95% CI: 3.505 to 73.523; p = 0.001). Our qualitative study showed that three critical factors are required for the implementation of a telemedicine project in nursing homes: (1) the motivation to perform teleconsultations (in other words, improving access to care and cooperation between professionals); (2) building a relevant telemedicine medical offer based on patients’ and treating physicians’ needs; and (3) it’s specific organization in terms of time and space. Our study showed different uses of teleconsultations according to the rural or urban localization of nursing homes and that telemedicine projects should be designed to consider this aspect. Triggered by the COVID-19 pandemic, telemedicine projects in nursing homes are increasing, and observing the three critical factors presented above could be necessary to limit the failure of such projects.

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Motivations of French Physicians to Perform Teleconsultations During COVID-19: A Mixed-Method Study

Cited by 13 publications

References 15 publications

Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France

Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France

Experience of Primary Care Physicians in the Aube Department, France, Regarding the COVID-19 Crisis

The Use of Telemedicine in Nursing Homes: A Mixed-Method Study to Identify Critical Factors When Connecting with a General Hospital

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