Efficacy and cost effectiveness of telemedicine for improving access to care in the Paris region: study protocols for eight trials View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-12

AUTHORS

Nathanael Charrier, Kevin Zarca, Isabelle Durand-Zaleski, Christine Calinaud, the ARS Ile de France telemedicine group

ABSTRACT

BackgroundWith the development of information and communication technologies, telemedicine has been proposed as a way to improve patient management by facilitating access to appropriate diagnosis and treatment. The Paris Ile de France Regional Health Agency is currently funding a comprehensive program of telemedicine experiments. This article describes the protocols for the evaluation of the implementation of telemedicine in the Paris region.Methods/designOver 2,500 patients have been included in eight studies addressing the use of telemedicine in the context of specific diseases or settings. Two projects are randomized controlled trials, while the six other projects are based on before-after designs (differences in differences studies). Based on the MAST model and the French national framework, we identified endpoints to assess the impact of telemedicine on five dimensions: clinical effectiveness, cost-effectiveness, security of the application, patient satisfaction and quality of life and perception of professionals.DiscussionTelemedicine encompasses a wide range of services and stakeholders, and thus study protocols must be tailored to the specific constraints and interests of the users.Trial registrationNCT02110433 (03/07/2014), NCT02157740 (05/27/2014), NCT02374697 (02/05/2015), NCT02157727 (05/27/2014), NCT02229279 (08/28/2014), NCT02368769 (02/05/2015), NCT02164747 (NCT02164747), NCT02309905 (11/27/2014). More... »

PAGES

45

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12913-016-1281-1

DOI

http://dx.doi.org/10.1186/s12913-016-1281-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003482466

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26857558


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204 ECEVE UMRS 1123, Paris, France
205 Faculty of Medicine, University Paris-Est, Créteil, France
206 Hôpital Hôtel Dieu, URC Eco Ile-de-France (AP-HP), 1 Place du Parvis Notre Dame, 75004, Paris, France
207 rdf:type schema:Organization
208 grid-institutes:grid.507899.a schema:alternateName ARS Ile de France, Direction de la stratégie, pôle SI santé et innovations, Paris, France
209 schema:name ARS Ile de France, Direction de la stratégie, pôle SI santé et innovations, Paris, France
210 rdf:type schema:Organization
 




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