Post-pandemic occupational medicine and telemedicine in Portugal and France: what does the future look like?

António Rui Marcelino Leal*, Maria José Pinto da Costa, João Costa Amado

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Based on personal experience over several years, we carried out a comparative analysis of two different European health systems, in Portugal and France, from a perspective comparing occupational medicine and use of telemedicine in a post-pandemic context. This analysis addressed four aspects: Health System; Occupational Medicine; Telemedicine/Telework; and Future and Suggestions. The study employed searches and review of recent articles, guidelines, and recommendations from the authorities responsible for regulation (Medical Doctors Order, Labor Legislation, and Medical Collegiate Recommendations) and analysis of some statistical indicators from recent studies. Three tables on Occupational Health and Medicine present some relevant data and facilitate comparisons. Despite the difficulties of comparison, given the basic differences between these two systems (Beveridge vs. Bismark), it can be concluded that there is a greater acceptance of judicious use of teleconsultation in France (from 15 to 35%). This includes its use by occupational nurses, in the context of the “Visite de Information et Prevention”, with good acceptance among employers and employees. There are still some difficulties to be resolved concerning security, conducting biometrics, and objective examinations. We expect that these issues will be overcome with improved biosensing, adequate training, and proper regulation. Given the shortage of occupational physicians and the customary overrunning of legal deadlines, we believe that these possibilities and suggestions should be explored and adopted by the specialty’s Collegiates. Certain recommendations to this effect are made.

Translated title of the contributionQual é o futuro da medicina do trabalho e telemedicina póspandemia em Portugal e na França?
Original languageEnglish
Article numbere20231194
Number of pages10
JournalRevista Brasileira de Medicina do Trabalho
Volume22
Issue number1
DOIs
Publication statusPublished - 2024

Keywords

  • Covid-19
  • France
  • Occupational medicine
  • Portugal
  • Telemedicine

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