• Rev Med Interne · Aug 2021

    Observational Study

    [The practice of telemedicine by French internal medicine physicians in 2019].

    • S Firn, J Galland, H Rousseau, E Andres, N Salles, P Disdier, J Azzi, C Baumann, and J-D de Korwin.
    • CHRU-Nancy, Département de médecine interne etimmunologie clinique-BPC, Université de Lorraine, 54511 Vandœuvre-Lès-Nancy cedex, France.
    • Rev Med Interne. 2021 Aug 1; 42 (8): 523-534.

    IntroductionTelemedicine has been developing in France since 2018. The objective of this survey was to assess the knowledge, attitudes, practices and training of internal physicians regarding telemedicine.Material And MethodsA national descriptive observational study carried out between July and October 2019, via an online self-questionnaire with members of the National Society of Internal Medicine and the Association of Young Internists, included a descriptive and comparative analysis by subgroups of age.ResultsAnalysis of 309 responses from physicians qualified in internal medicine or practicing in an internal medicine service (61,8%) and residents in internal medicine (38%) showed that 34.6% had notions or a good knowledge of regulation of telemedicine. For 62,1%, 72.5% and 74.1% respectively, it could improve patient care, access to care and exchanges between internists and other doctors. The main obstacles to this practice were the absence of face-to-face with the patient (57.3%) and computer dysfunctions (55%). Only 23.3% practiced it, including 88.9% tele-expertise. Telemedicine was performed informally (telephone and email) in 70.8% of the cases. Doctors over the age of 50 were better acquainted with the regulations and more practiced official telemedicine. In total, 54% wanted to practice telemedicine and 72.8% wanted to train there.ConclusionAttitudes towards telemedicine were positive, but few internists knew about it and practiced it formally, warranting appropriate training.Copyright © 2021 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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