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La place de la télémédecine à domicile dans lʼorganisation du système de santé en France

Abstract : One the main source of change in the health service system is the digitization and Networking technique wich can be seen in the development of telemedicine. If this « medicine at distance », using ITC, could be summed up in a few experiments in the hospital field, the government wants to give it a new impulse. It must be the key to improve the health service system. Its use in the territories must embody an organizational and technical answer epidemiological, demographic and economic numerous challenges, to wich the health system has to face nowadays. This investigation is aimed at contributing to settle the social and political meaning of telemedicine development. One has to identify systematically and in the whole the forces which lead to this change, while at the same time highlighting the consequences in users the classical approach. The analysis of the public politics and the study of the technological change convey in the political sociology uses. Anchored between the public politic model and the sociological innovation, the investigation has allowed to identify and explain the main dynamics which influence the telemedicine development process, starting by the public policies to the implémentation of technologies. The telemedicine is both the impulse and the result of the health service system modernization reform. Itsrepository is strongly influenced by the rationalizing of the requirements and the management of the health and social network and remains mainly legitimized by profitability and performance criterias which are probably incompatible with clinical and therapeutic efficiency of health services. The telemedicine could make many services in the management of human and Professional activities, thank to a management more thought, concerted, planed of the technologic change
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Submitted on : Thursday, January 26, 2012 - 5:33:47 PM
Last modification on : Monday, December 13, 2021 - 12:02:52 PM
Long-term archiving on: : Friday, April 27, 2012 - 2:37:09 AM


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  • HAL Id : tel-00663358, version 1


Anne-Briac Bili. La place de la télémédecine à domicile dans lʼorganisation du système de santé en France. Médecine humaine et pathologie. Université Rennes 2, 2012. Français. ⟨NNT : 2012REN20002⟩. ⟨tel-00663358⟩



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