• Le Dossier Médical Partagé, a sea serpent launched in 2004 and which only saw the light of day in 2019, has won over neither the French nor the caregivers.

  • To accelerate digitization in health, the government wants to launch a new version of the project, called Mon Espace Santé.

  • Wider, it includes, in addition to sharing health data, a messaging system, an agenda and a catalog of labeled health applications.

    But will it succeed in transforming the collaboration between caregivers and the patient-caregiver relationship?

You probably haven't noticed it, but it has been impossible, since July 1, to create a Shared Medical File (DMP).

This digital health record, which brings together all the important documents, prescriptions, exams, blood tests, turned out to be a bitter failure.

Far from the 40 million openings targeted by the government by 2023, it peaked at the end of 2020 at less than 10 million.

Above all, many patients have created their DMP… without ever reopening it.

But the government wants to relaunch the idea, by modifying the form and the content.

This is why the French will gradually say goodbye to the DMP to discover Mon Espace Santé.

20 Minutes

explains to you what it will change.

Generalization in January 2022

On the planning side, a first experiment with Mon Espace Santé will be launched this summer, in August more precisely, in three departments: Haute-Garonne, Somme and Loire-Atlantique. In January 2022, we will move on to the generalization of this new tool, which is supposed to change, once and for all, the relationship between caregivers and patients thanks to digital technology.

What will we find in this digital space? The global platform will be made up of four tabs. The one dedicated to the DMP, revisited, will allow you to store and share prescriptions, exam results, medical history, hospitalization report, vaccination ... A second will be in the form of an agenda, to better know when you are must see your gynecologist or cardiologist. A third panel will serve as secure messaging, to communicate more directly with your caregivers. Finally, the fourth tab, the most innovative, will arrive in a second step: you can bring together all the health data collected through your applications, provided they are labeled. And that you accept it.

So, concretely, tomorrow, thanks to Mon Espace Santé, if you arrive at the hospital after a car accident, any doctor, provided you give him the code, will be able to check your blood type, your current treatments. , your advance directives… We are still not very far from the promise of the DMP.

What changes compared to DMP?

To prevent this new stage from turning into a fiasco (and a waste of public money), three conditions have changed.

First of all, it will not be up to the caregiver or the patient to open this digital health record;

the state will create it automatically for each French person.

Including for minors, knowing that their parents will be responsible until they come of age.

“From January 2022, the French will receive a letter from Health Insurance explaining that their health space is open, details Dominique Pon, director of the Pasteur clinic in Toulouse, and pilot of this transformation. You can object to it for one month and ten days. »Without a response, the file is created. "This removes a brake", continues the ministerial manager in digital health. Who recognizes that the opening of the DMP did not go without saying.

Second big change: “The citizen is the boss, summarizes Dominique Pon. This digital space has been given ergonomics so that citizens can store their data themselves. And the design was conceived with patients, who told us, for example, how to name the files so that everything was understandable. Above all, it will be up to each citizen to nourish this space, by photographing an examination report, for example. And whether or not to authorize access to this data for each practitioner. The latter is encouraged to share data, with a financial boost. But after a certain time, this funding will be reduced if the hospital or the caregivers do not play the game. "This is the first time that we have a voluntarism with a carrot and a stick", summarizes the engineer.

But above all, there has been a lot of work done in the shadows to allow the interoperability of all software. Clearly, today, each hospital, each doctor, can choose a software to digitize its files. "And this is the Wild West", regrets Dominique Pon. Because what he said wrong with the DMP is that all these software did not have the same operation, nor the same degree of security. Consequently, for months, France has financed and organized the updating of all the software used in the country. With one goal: to label those who will respect the specifications in terms of safety and to make them all compatible. “People don't see it today, but there are a lot of security holes,” he insists. Tomorrow, with secure messaging on My health space,we will avoid sending confidential information by Gmail ... "

What limits?

For sure, Mon Espace Santé will delight caregivers, who lack time for their consultations.

And who will not necessarily respond directly to their patients on the messaging.

Or who will not take more time to fill this new digital space than (fire) the DMP.

"If there is a file for biology, another maternity, yet another for cardiology, we remain in the fragmentation of information and we are screwed", explains the ministerial official.

The other challenge will be to convince the French who fear a stranglehold by the State on their confidential data. "Today, there is plenty of information that a stressed patient will forget to give just before his operation," explains Dominique Pon. Examinations are performed on the wrong patient, or redone for safety. Beyond performance and savings, if we coordinate better, tomorrow we will be better looked after. But there is also an economic and sovereignty issue. “We risk losing digital technology in France, just as we have lost the industry. I think that if we talk about jobs for our children and health data that may go to the GAFA, we will be able to convince a lot of people. "

Still, not all French people are comfortable with computers or well connected.

"In my establishment, where the average age is around 67, so not really geeks, patients have been sending their data digitally for five years, and the membership rate is 70%," replied -he.

Do not underestimate the French!

“And he reassures: those who wish will be able to keep their paper prescriptions, in addition to a digital duplicate.

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  • Health

  • Toulouse

  • Digital

  • Patients

  • Medicine

  • Health record