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Med Sci (Paris). 2018 Jun-Jul;34(6-7):581-586. doi: 10.1051/medsci/20183406000. Epub 2018 Jul 31.

[Health information technology: current use and challenges for primary healthcare services].

[Article in French]

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Université de Bordeaux, Article 25, 146, rue Léo Saignat, 33000 Bordeaux, France.
Université de Bordeaux, Bordeaux Population Health, Inserm U1219, 146, rue Léo Saignat, 33000 Bordeaux, France.
Université de Bordeaux, Institut de santé publique, d'épidémiologie et de développement (ISPED), CHU de Bordeaux, 33000 Bordeaux, France.
Évaluation de la mise en œuvre et des résultats du programme « Territoire de soins numérique » dans les cinq territoires pilotes. Institut de santé publique, d'épidémiologie et de développement (ISPED), 146, rue Léo Saignat, 33000 Bordeaux 1, France.


Health information technology is developing rapidly, due to a profusion of actors and support from public policies. It generates new uses and functions, for both patients and professional users, thereby suggesting a "digital revolution" is coming. Nevertheless, e-Health's development meets with a particularly complex healthcare system, especially when it comes to primary care services. This situation creates four types of challenges. Firstly, an organizational challenge, meaning e-Health implementation needs to take into account the organization in which it intends to integrate. Secondly, a social and territorial concern, as the burden of inequalities is one of healthcare system's major issues. The third challenge is about economics, as we need to search for new methods for globally apprehending e-Health's business model and long-term sustainability. Lastly, the fourth challenge relates to new technical and legal issues.

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