Etude de l'impact médico-économique d'un projet de télémédecine au Mali

In the struggle against the medical desertification of rural areas, telemedicine proves itself to be a promising tool. Its impact, as described by numerous studies conducted in Nordic countries, lacks proof in its implementation in developing countries. EQUI-ResHus is a hybrid electrocardiography and echography tele-expertise project in Mali, enabled by an internet connection implemented in four centres countrywide. This study aims to investigate its medico-economic impact through the use of surveys filled in by patients and medical professionals alike. The results show a higher local expertise when conducting echographies but a sizeable use of external consultations when interpreting electrocardiographies. Demands of expertise vary greatly between the different sites. The medical centres showed a higher rate of visits, proving the technology's mass appeal. Even though the exam's utility has been proven, tele-expertise has had a mitigated impact on diagnostics and subsequent follow-up of the patient. The economic benefits to patients are clear in the form of savings accrued from not having to travel and stay in the capital, Bamako. The additional costs brought about by tele-medicine, such as the internet connection, are cushioned by the patient saving money as a result of conducting monthly one or two medical exams at the aforementioned sites.