Medico-economic Impact Evaluation in Telemedecine Follow-up in Complement of a Mobile Team in Patients With Neurological Disabilities (HANDI@CCESS)

Randomized Controlled Pilot Study for Medico-economic Impact Evaluation in Telemedecine Follow-up in Complement of a Mobile Team in Patients With Neurological Disabilities (HANDI@CCESS)

Access to care for people with traumatic or degenerative neurological disabilities is a current public health concern. New technological tools such as telemedicine can bring expertise to the place of life of people while promoting the city-hospital link.

Inclusion Criteria:

• Patients over 18
• Volunteer to participate in the study and whose primary caregiver is voluntary
• Presenting a severe neurological handicap following a neurological lesion of traumatic, vascular or degenerative origin,
• Requiring an expert opinion in MPR (rehabilitation, technical and human compensatory means, specific treatments ...) and / or in algology
• Whose access to care is reduced (difficulties of movement, distance from expert centers, situation of fragility ...) and which necessitate the displacement of professionals at home,
• Which require a coordination of care associating the professionals of the sanitary and medico-social sectors
• Living in health territory 5 in Brittany
• Mastering the French language spoken and / or written.

Exclusion Criteria:

• Misunderstanding making it impossible for informed consent with the refusal of the guardian or court safeguard
• Unable to use a digital tablet or lack of a resource person who can assist the patient in the use of the tablet
• Patients who do not have access to an internet connection (white area)
• Life threatening is committed in the short term (< 3 months)