Telemedicine for Nursing Homes: An Innovative Solution in the Val-de-Marne Region (France)

Introduction: Telemedicine is an innovative solution that enables the remote care of patients through digital technology. This method is particularly interesting for nursing homes (EHPAD) that accommodate often frail elderly individuals requiring constant medical monitoring. The aim of this thesis is to verify the relevance of telemedicine as a tool for teleconsultation and tele-expertise within nursing homes. Objectives: To determine whether telemedicine can be considered an effective means for teleconsultation and tele-expertise within nursing homes. The secondary objective is to assess the implementation of telemedicine in these establishments, and the skills and obstacles of the caregiving teams regarding the use of telemedicine. Results: Numerous nursing homes lack the necessary equipment and human resources for telemedicine. However, the implementation of a concerted medical project, adequate support, and training, as well as enhanced communication among stakeholders, can promote the development of telemedicine as a tool to improve the quality of care for the elderly in nursing homes. Conclusion: Telemedicine can be a relevant solution for enhancing the medical care of the elderly in nursing homes, but its application is limited by a lack of specialized equipment and human resources. To address these gaps, it is recommended to establish concerted medical projects, improve training and practices, enhance communication among stakeholders, and reconsider logistics. These recommendations could enable better adoption and utilization of telemedicine in nursing homes, thereby benefiting patients, caregivers, and establishment management.