[Etude] People with chronic diseases tend to favor telemedicine

What is the best balance between remote and face-to-face care? Here is the question to which a study published on December 29, 2021 in the Journal of the American Medical Association (JAMA) tried to answer by interviewing a cohort of 1,529 patients followed by the hospitals of the Assistance Publique – Hôpitaux de Paris (AP-HP).

Improve attention
The objective was to evaluate how the innovations implemented during the Covid-19 pandemic could improve the care of people with chronic diseases that affect, remember, half of the adults in Western countries. In detail, three devices were at the center of the questions: teleconsultations, online sites that allow self-assessment of the severity of symptoms and remote monitoring by connected objects.

Here’s what comes out: for patients, teleconsultations and other remote care modalities are not intended to replace traditional care based on regular consultations with your doctor. On the other hand, once the disease is balanced and the patient has settled into “a routine of care”, patients estimate that these new management methods could ease the burden of their treatment and replace up to 50% of their interactions. traditional with the patient. .the medical world.

Teleconsultation for routine events
People preferred teleconsultations to in-person consultations for 50% of their future consultations. They were very appropriate for routine care activities, such as refilling a prescription or discussing the results of a medical exam, the study notes. “But for a more complex problem, it is better to see a doctor in person,” said one of the participants.

Self-report sites were preferred in only 22% of cases to contact with a doctor. In fact, the study notes that patients found it more comforting to speak directly with their doctor, especially in the case of atypical symptoms. For its part, remote surveillance was preferred in 52% of cases to consultations. It was considered appropriate to rapidly assess and adapt treatment based on data related to symptoms, treatment efficacy and side effects.

Valuable data for healthtech
The results of this study are interesting data for companies that publish telemedicine solutions in order to understand people’s expectations. A study on connected devices related to diabetes, for example, showed that 40% of them were considered too intrusive by users. This was the case of a mobile application that offers a follow-up of the diet through a photograph of the food present on the person’s plate.

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