“eHealth, and in particular the use of electronic medical records (EMRs) and telemedicine, has grown rapidly in recent years, after a few ‘false starts’. EMRs were initially launched in 2004 to facilitate collaboration between various health professionals and patients but became operational in a few settings only in 2011 and more widely available in all settings in 2018. By mid-2019, over 6.4 million people (about 10 % of the population) had an EMR.
“Telemedicine was legally defined in 2009, but the numerous pilot projects launched over the last decade were limited in scope. However, in 2018, the SHI defined the price and insurance coverage of teleconsultation and tele-expertise. The price for a teleconsultation is the same price as a face-to-face
consultation, hence being covered like a traditional consultation. These teleconsultation activities have grown quickly, with about 50 companies currently in the market, but concerns have emerged rapidly about ensuring that the teleconsultations remain activities performed by the regular local health professionals rather than by national platforms without any links to local health professionals and their network.”
Source: OECD/European Observatory on Health Systems and Policies (2019), France: Country Health Profile 2019, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels.
“To support care coordination, a national electronic medical record (DMP), has been created by law in 2004. Because of technical difficulties and delays during implementation, the project was entrusted to a dedicated technical agency in 2009. But 3 years later, only 160,000 DMPs had been opened contrary to the several million expected. Physicians criticized the technical and administrative burden, but the main factors highlighted were resistance to sharing information with patients and with other professionals. Failing to cross the critical threshold of users that gives value to the system, the project failed. After this first attempt, the project was entrusted by law to the national health insurance fund in 2016. The new policy was addressed to patients, professionals and software companies. The policy has allowed patients to independently access and modify their DMP data already in possession of the national public medical insurance, and has introduced financial incentives for physicians opening a DMP. As a result the deployment of DMPs has accelerated substantially: 350,000 new DMPs were opened in nine pilot departments within a year. If scaled-up to the entire country, this number would correspond to 4 million DMPs.”
Source: Burnel, Philippe. “The introduction of electronic medical records in France: More progress during the second attempt.” Health policy (Amsterdam, Netherlands) vol. 122,9 (2018): 937-940. doi:10.1016/j.healthpol.2018.07.022.
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Page last updated Oct. 24, 2022 by Doug McVay, Editor.