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Title:
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A GENERAL MODEL FOR ASSESSMENT OF CHANGE
IN PROFESSIONAL PRACTICESWHILE SHIFTING
TO TELE-MEDICINE |
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Author(s):
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Nathalie Bricon-Souf and Hervé Pingaud |
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ISBN:
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978-989-8533-89-0 |
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Editors:
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Mário Macedo |
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Year:
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2019 |
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Edition:
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Single |
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Keywords:
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Telemedicine, Professional Practice, Evaluation |
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Type:
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Full Paper |
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First Page:
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93 |
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Last Page:
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101 |
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Language:
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English |
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Cover:
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Full Contents:
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click to dowload 
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Paper Abstract:
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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. |
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