Since June 2022, a one-stop remote expertise counter has been initiated by the Hospitals of Chartres, in conjunction with the Council of the Order of Physicians of Eure-et-Loir. Eight months after the launch of the device, the results appear very encouraging, according to several users, gathered on Friday, February 10, on the site of the Louis-Pasteur hospital, in Coudray.
Who is the tele-expertise one-stop shop for?
This secure platform allows general practitioners, midwives or health establishments, such as nursing homes, to contact Eurelian specialists to seek expert advice on a question about a patient.
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Hervé Gorka, cardiologist at the Hôpitaux de Chartres, is one of the experts who have joined this one-stop shop. He explains :
This concerns patients who do not have a usual specialist. We are not here to replace specialists.
Hervé Gorka (cardiologist at Chartres Hospitals)
For the moment, eighteen medical specialties can be queried: addictology, allergology, visceral surgery, dermatology, diabetology, endocrinology, geriatrics, gynecology, nephrology, obstetrics, oncology, pneumology, rheumatology, pain unit, spinal surgery, wounds and scars.
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“The counter is set to develop. It is open to all experts wishing to join us, whether they practice in the hospital or in private practice”, specifies Christophe Laure, deputy director in charge of clinical research and innovation at the Hôpitaux de Chartres.
How does this device work?
The healthcare professional’s request for an opinion can be sent in three ways: by telephone, by email or through an online platform.
Caroline Vincent-Dejean, endocrinologist at the Hospitals of Chartres, decrypts:
“Very often, general practitioners ask us for advice by SMS. This counter makes exchanges official and secure. This traceability is very important. »
Caroline Vincent Dejean (endocrinologist at the Hospitals of Chartres)
The general practitioner can send documents or images (scanner, X-ray, photo, electroencephalogram, etc.) via this channel. The request is sent to the appropriate specialist, who provides his response “within an average of 48 hours”, underlines Jonathan Vannier, telemedicine referent nurse within the territorial hospital group (GHT) of Eure-et-Loir.
What are the advantages of the one-stop-shop for tele-expertise?
The platform responds to several issues, according to its users. “Access to a specialist consultation can take several weeks or even months. This makes it possible to obtain answers quickly,” observes Christophe Laure.
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Virginie Papillon, dermatologist at the Dreux hospital, sees it as a way to fight against medical desertification. She explains :
“There is a shortage of dermatologists. Teleexpertise does not solve everything, because touch is missing, which remains an element of diagnosis. But many questions can be answered from photos sent to us by GPs.
Virginia Butterfly (dermatologist at Dreux hospital)
Virginie Papillon also works with nursing homes. “In many cases, tele-expertise prevents the elderly from having to travel,” she points out. The specialist can directly offer treatment or additional examinations.
“It’s interesting because it makes it possible to prioritize patients”, notes Julien Cottet, president of the Council of the Order of Physicians of Eure-et-Loir and allergist in Chartres. He too embarked on this adventure. “We save time by avoiding unnecessary consultations,” he says. Everyone can therefore find an interest in it, doctors and patients alike.
Helen Bonnet
