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Gouverner la télémédecine. Analyse institutionnaliste d'une nouvelle pratique médicale

Abstract : Telemedicine has been practiced in France since the 1980s. In 2009, the HPST law proposes a legal definition: Telemedicine is “a form of medical practice remotely using ICT”. From this date, the practice has been institutionalized, a national development strategy has been implemented and a sectoral public policy is applied. The objective is to remove regulatory and organizational barriers to the practice of telemedicine. Telemedicine is also becoming a tool for the renewal of public action. However, public policies are unsuccessful. Telemedicine is not developing as the public authorities have desired. The general hypothesis of our research is that instead of removing barriers to the development of telemedicine, public policies dedicated to its practice are actually impeding it. That is why we analyze power relations among stakeholders of regulation. To do this we adopt an institutionalist approach. We question the relevance of the governance model used for for deployment of telemedicine. We highlight that the solutions provided by the institutions in charge of the development of telemedicine can be improductive.
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https://hal.univ-reims.fr/tel-03053408
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Submitted on : Friday, December 11, 2020 - 9:55:47 AM
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Amandine Rauly. Gouverner la télémédecine. Analyse institutionnaliste d'une nouvelle pratique médicale. Science politique. Université de Reims Champagne-Ardenne (URCA), 2016. Français. ⟨NNT : 2016REIME004⟩. ⟨tel-03053408⟩

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