This Friday, the town hall of Ballainvilliers presented a telemedicine cabin that it welcomes within it.
Created by the company H4D, this cabin allows the teleconsultation of a doctor with fifteen instruments and sensors which allow to carry out examinations worthy of a hospital.
Certified and secure, the device allows the doctor to perform 97% of the medical acts that he could perform in the office.
H4D hopes, thanks to its system, to convince a maximum of general practitioners to participate in the program and thus relieve medical deserts.
A first response to medical deserts?
This Friday, the H4D company presents its telemedicine cabin installed in the town hall of Ballainvilliers.
Like more and more municipalities in Île-de-France, this town in Essonne is faced with a lack of doctors.
Of the four doctors who took care of the 5,000 Ballainvillois a few years ago, two are now retired and one has left.
To overcome this lack, the town hall decides to call on H4D to offer a consultation service within it.
The futuristic look of the cabin could suggest the spa or hammam of a wellness center.
However, these white capsules give access to a consultation with a doctor in (almost) real conditions.
“We wanted to respond to the lack of medical resources in certain areas.
We have therefore reproduced as much as possible the medical act performed in a practice,” explains Franck Baudino, doctor and founder of H4D.
This is exactly what Stéphanie Gueu-Viguier, the mayor of Ballainvilliers, was looking for: “The goal is to unclog the medical office by dealing with daily care such as colds or medical certificates as much as possible.
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A hospital-grade device
Inside the cabin, the patient finds himself one-on-one with a very real doctor on his screen.
But the difference with the videoconference consultations that many have experienced since the start of the Covid-19 epidemic is that here he will be able to take a whole battery of clinical examinations remotely.
Blood pressure, stethoscope, electrocardiogram, dermatoscope… A total of fifteen instruments and sensors are present inside the cabin.
Thanks to this class 2 medical device, i.e. the quality of the devices found in the hospital, the patient will be able to carry out the necessary examinations himself.
“The doctor will guide the patient throughout the consultation.
If you're coughing, you need to know if it's the lungs or the heart.
Thus, the doctor will be able to tell you to take instrument number 6 on your right and place it like this… A little further to the left, a little higher…”, explains Franck Baudino.
Tracking and Privacy
H4D thus guarantees that the doctor can practice in good conditions, since he receives the results live.
Moreover, these are sent "in binary", in clear, either the results are received and certified correct, or he does not receive them and starts the examination again.
So no risk of bad information.
As in a doctor's office, confidentiality is guaranteed since the cabin does not allow any sound to filter outside.
“To reinforce this feeling of intimacy, we have placed the cabin in a separate room, with a waiting room next to it,” explains Stéphanie Gueu-Viguier.
In addition, this room allows minors or the elderly to keep the cabin door open in order to stay in contact with their companion.
Medical follow-up is also ensured because the doctors who work with H4D sign a charter obliging them to make a report after each teleconsultation, to allow the next practitioner to have all the necessary information: prescribed drugs, pathologies, examinations and even photos. .
Relieve medical deserts
Franck Baudino does not lack arguments to prove the reliability of his device.
His company has been working on it since its creation in 2008. The integrated software, the result of twelve years of development by H4D engineers, is certified and the company works with the National Council of the Order of Physicians and regional health agencies ( ARS).
The recorded data is fully encrypted and stored at an approved health data host in France.
The icing on the cake, the company works with a network of French manufacturers and 100% of its machines are manufactured in France.
The company already has some experience since after seven years of protocols, tests and ministerial authorizations acquired, nearly 200 machines already equip local authorities and nearly 60% of CAC 40 companies.
If he insists on the fact that practice in the office remains fundamental, Franck Baudino hopes to convince more and more doctors to subscribe to this form of consultation.
His hope for patients is to be able to suggest their treating doctor or, failing that, a doctor from their department.
“Practitioners receive training, and can then do 97% of what they do in practice.
If everyone could offer a half-day or a day a week of teleconsultation, that would help relieve medical deserts.
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The Ballainvilliers town hall cabin will be put into service on March 1st, the time for the town hall staff to train.
"The staff will take care of the reception of patients, cleaning and disinfection, as well as the replacement of consumables", explains Stéphanie Gueu-Viguier who adds that, initially, the cabin will be open three half-days per week, the time to break in, before an opening set on the schedules of the town hall.
In all, the town hall will have invested nearly 60,000 euros for this machine (plus 40,000 euros from departmental and regional subsidies) to compensate for the lack of doctors in its municipality.
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