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

机译:在法国采用全国共享的医疗记录:部署5年后的经验教训

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摘要

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.
机译:为确保护理质量和患者安全,有必要在医疗从业者之间共享信息,以进行协调或计划外的护理。在大多数国家,全国性计划提供了支持信息共享的工具,从集中式护理记录到电子健康记录(EHR)之间的健康信息交换。法国个人病历(DMP)是根据选择加入同意模型创建的集中患者控制的记录。它包含卫生从业人员自愿从其电子病历中推入DMP的文件。该计划于2010年12月启动五年后,到2015年12月,将近570,000个DMP仅覆盖了目标人口的1.5%。采用这种水平差的原因是从其他国家的倡议的角度来讨论的。概述了法国政府在2016年部署DMP的新战略,并实施了类似于美国有意义使用的措施。

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