Seroussi Brigitte, Bouaud Jacques
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Sorbonne Paris Cité, Université Paris 13, LIMICS, UMR_S 1142, Paris, France.
AP-HP, Hôpital Tenon, Département de Santé Publique, Paris, France.
Stud Health Technol Inform. 2017;235:333-337.
If the wide adoption of electronic health records (EHRs) is necessary to address health information sharing and care coordination issues, it is not sufficient. In order to address health information sharing, some countries, among which, France, have implemented a centralized framework with "new" nationwide care records. The French DMP is a centralized, nationally shared, electronic medical record, created according to the opt-in model. More than five years after the launching of the DMP project, DMPs have been created for 1.5% of the target population, which demonstrates the poor adoption of the tool by healthcare professionals. Among the 583,997 existing DMPs in June 2016, 41% were empty, and 24% of non-empty DMPs were actually accessed. If these "active" DMPs were equally accessed by both healthcare professionals and patients, patients accessed DMP documents four times more than healthcare professionals.
如果广泛采用电子健康记录（EHRs）对于解决健康信息共享和医疗协调问题是必要的，那么它也是不够的。为了解决健康信息共享问题，一些国家，其中包括法国，已经实施了一个带有“新型”全国性医疗记录的集中式框架。法国的个人健康记录（DMP）是一个集中式、全国共享的电子病历，它是根据选择加入模式创建的。在DMP项目启动五年多后，仅为1.5%的目标人群创建了个人健康记录，这表明医疗保健专业人员对该工具的采用率很低。在2016年6月现有的583,997份个人健康记录中，41%为空记录，在非空的个人健康记录中，实际被访问的占24%。如果这些“活跃的”个人健康记录被医疗保健专业人员和患者同等访问，那么患者访问个人健康记录文档的次数是医疗保健专业人员的四倍。
