Roxana Ologeanu-Taddei

ASSESSING PATIENT'S PERCEPTION OF ORAL TELECONSULTATION

OBJECTIVES The evaluation of telemedicine from the patients point of view has focused on the patient pathway and patient satisfaction. However, research in this field does not provide us with the means to assess a patients perception of the procedure if their reasoning ability is impaired. In this study, we use direct observation of a patients behavior and mood to assess their perception of an oral teleconsultation procedure. METHODS This study has been conducted in the context of a pilot project using an asynchronous teleconsultation to improve access to dental care for the dependent elderly, disabled people, and prisoners, some of whom may be cognitively impaired. We use a direct observation form consisting of five behavioral variables and eight affect variables to reflect the patients experience of the oral teleconsultation procedure. RESULTS A total of 135 patients were evaluated; 10 refused the procedure. Psychotic patients (n = 33) had a somewhat negative experience during the oral teleconsultation procedure. Patients who were not psychotic had a positive experience; this decreased as we moved from the autonomous to the semi-autonomous and then to the dependent sub-group. Some gender differences were also noted. CONCLUSIONS Improving evidence on evaluating the acceptance of the cognitively impaired is required to improve the technology development process so that it can be translated into an improved patient experience and adherence. Although the study was specifically focused on teledentistry, the approach described in this study could be adapted to other forms of teleconsultation.

Development of Teledentistry: From Pilot Projects to Successful Implementation

As of telemedecine initiatives, teledentistry innovations have great potentials to enhance accessibility to dental care, reduce cost of care and enhance quality of dental care. Despite such potentials, many teledentistry innovations remain in the pilot phase or are not successfully implemented. To explain this paradoxe, we discuss the adoption, and the implementation of teledentistry in regular healthcare practices and the evaluation of the success of teledentitry projetc. We propose to identify the main critical factors for teledentistery initiatives.

The intention to use an electronic health record and its antecedents among three different categories of clinical staff

BackgroundLike other sectors, the healthcare sector has to deal with the issue of users’ acceptance of IT. In healthcare, different factors affecting healthcare professionals’ acceptance of software applications have been investigated. Unfortunately, inconsistent results have been found, maybe because the different studies focused on different IT and occupational groups. Consequently, more studies are needed to investigate these implications for recent technology, such as Electronic Health Records (EHR).MethodsGiven these findings in the existing literature, we pose the following research question: “To what extent do the different categories of clinical staff (physicians, paraprofessionals and administrative personnel) influence the intention to use an EHR and its antecedents?” To answer this research question we develop a research model that we empirically tested via a survey, including the following variables: intention to use, ease of use, usefulness, anxiety, self-efficacy, trust, misfit and data security. Our purpose is to clarify the possible differences existing between different staff categories.ResultsFor the entire personnel, all the hypotheses are confirmed: anxiety, self-efficacy, trust influence ease of use; ease of use, misfit, self-efficacy, data security impact usefulness; usefulness and ease of use contribute to intention to use the EHR. They are also all confirmed for physicians, residents, carers and nurses but not for secretaries and assistants. Secretaries’ and assistants’ perception of the ease of use of EHR does not influence their intention to use it and they could not be influenced by self-efficacy in the development of their perception of the ease of use of EHR.ConclusionsThese results may be explained by the fact that secretaries, unlike physicians and nurses, have to follow rules and procedures for their work, including working with EHR. They have less professional autonomy than healthcare professionals and no medical responsibility. This result is also in line with previous literature highlighting that administrators are more motivated by the use of IT in healthcare.

Des travaux récents montrent que le type de hiérarchie et les politiques RH pourraient influencer les usages des logiciels collaboratifs

Le premier travail prevu dans le cadre du projet Use.Org consistait a realiser une synthese pluridisciplinaire de la litterature. Dans un premier temps, nous avons synthetise la litterature existante en SI sur les usages des outils collaboratifs. Ensuite, nous avons enrichi cette analyse en l’articulant avec des travaux issus des RH

Résultats "Développer les usages des logiciels collaboratifs"

Dans la presentation de ces resultats, nous allons tout d’abord souligner que, bien que nous ayons fait le choix d’analyser un outil unique — LiveLink — afin de pouvoir comparer les usages identifies dans nos differents cas, nous nous sommes retrouves face a une tres grande heterogeneite des usages. Cette variete est coherente avec la litterature en SI (Orlikowski, 2000). Elle constitue neanmoins une difficulte pour notre etude. Il nous a donc ete necessaire d’analyser en detail cette variete et d’en saisir les facteurs explicatifs (I).

Introduction "Développer les usages des logiciels collaboratifs"

Cet ouvrage pose la question suivante: les structures organisationnelles et les politiques RH influencent-elles les usages des outils collaboratifs?

Conclusions et perspectives "Développer les usages des logiciels collaboratifs "

Au-dela des resultats que nous venons de presenter, nous pouvons revenir ici sur quelques points forts, bases a la fois sur la litterature et sur les onze etudes de cas.

Méthodologie et présentation des 11 études de cas

Apres avoir justifie notre choix de la methodologie d’etudes de cas multiples (21.), nous presenterons LiveLink, la technologie collaborative que nous avons selectionnee (22.), puis les 11 entreprises que nous avons etudiees (23.).

Choisir la visioconférence pour la formation professionnelle ? L'analyse stratégique des décideurs

The aim of this communication is to present part of the results of a research about the impacts of a videoconferencing system for e-training conducted within a big french company. The aim of this research is to find the reasons why the decision-makers in charge of training centers decide to adopt (or not to adopt) a videoconferencing system. Interviews have been analyzed closely according to four axes similar to the balanced scorecard axes, in order to take into account organizational and strategic reasons and not only financial reasons.