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AMIA Annu Symp Proc. 2017 Feb 10;2016:1100-1109. eCollection 2016.

Adoption of a Nationwide Shared Medical Record in France: Lessons Learnt after 5 Years of Deployment.

Author information

1
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Université Paris 13, Sorbonne Paris Cité, UMR_S 1142, LIMICS, Paris, France; AP-HP, H^opital Tenon, Département de santé publique, Paris, France; APREC, Paris, France.
2
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Université Paris 13, Sorbonne Paris Cité, UMR_S 1142, LIMICS, Paris, France; AP-HP, DRCD, Paris, France.

Abstract

Information sharing among health practitioners, either for coordinated or unscheduled care, is necessary to guarantee care quality and patient safety. In most countries, nationwide programs have provided tools to support information sharing, from centralized care records to health information exchange between electronic health records (EHRs). The French personal medical record (DMP) is a centralized patient-controlled record, created according to the opt-in consent model. It contains the documents health practitioners voluntarily push into the DMP from their EHRs. Five years after the launching of the program in December 2010, there were nearly 570,000 DMPs covering only 1.5% of the target population in December 2015. Reasons for this poor level of adoption are discussed in the perspective of other countries' initiatives. The new French governmental strategy for the DMP deployment in 2016 is outlined, with the implementation of measures similar to the US Meaningful Use.

PMID:
28269907
PMCID:
PMC5333332
[Indexed for MEDLINE]
Free PMC Article

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