Despite the increasing use of medical photography by dermatologists, no study on patients' perceptions of photography in dermatology has been performed to date.Firstly, to evaluate patients' perceptions of medical photography. Secondly, to assess whether perceptions differed between patients in our adult department and parents accompanying a child in our paediatric department.An opinion survey was conducted at the Hospital of Tours (France) among adult patients (adult department) and accompanying parents (paediatric department) by completion of a questionnaire after any medical photography had been performed.We collected 272 questionnaires regarding 158 adults and 114 children. A camera used only in the department, and storage of the images in the department's records were the most accepted modalities (> 90%), especially in the paediatric survey. Respondents agreed with the sharing of the images with other practitioners and in medical meetings (> 85%) rather than distribution via publications (58·3%), e-mails (45·5%), health magazines (44·3%) and websites (32·0%). Most (78·8%) considered that the consent form should list all the possible uses of the images. Need for renewed consent for each use of the images was significantly more often expressed in the paediatric than the adult survey (44·5% vs. 24·5%, P = 0·001). More than 95% of respondents considered medical photography to be useful for improving diagnosis, monitoring of skin disease and aiding teaching.These findings could be used to improve practice, to increase the acceptability of medical photography and for devising a standardized consent form for medical practitioners performing medical photography.
Il existe de nombreux projets de desserte ferroviaire a grande vitesse dans le monde, suscitant une multitude d’attentes en termes de developpement economique local. Si elles ne se realisent pas toujours, dans certains cas, des dynamiques ont cours dans lesquelles la desserte TGV semble jouer un role indirect. Il existe ainsi une heterogeneite forte de la relation entre desserte TGV et developpement economique local que cet article se propose d’eclairer. A partir des theories de l’innovation dans les services, qui soulignent le caractere coproduit de ces services, nous analysons une desserte TGV comme un faisceau d’innovations de service. Nous montrons que ce faisceau est par definition differencie selon les pays et, au sein de ces pays, selon les territoires. Cela constitue un premier niveau d’heterogeneite. Par ailleurs, les potentialites d’usage et d’appropriation de ces innovations par les acteurs des territoires desservis qui dependent des caracteristiques de ces territoires sont differentes. C’est un deuxieme niveau d’heterogeneite. Enfin, nous mettons en evidence que l’appropriation de ces innovations depend des strategies mises en oeuvre par les differentes parties prenantes, generant ainsi un troisieme niveau d’heterogeneite. Ainsi, il est necessaire de depasser les analyses en termes d’effets, puisque fondamentalement le lien entre desserte TGV et developpement economique local est coproduit.
