Low-cost and expensive French personal health electronic records
来源:Dongguan Yanghan Industrial Co., Ltd. 时间:2020-09-09
According to the French "Le Figaro" website, France launched an electronic personal health record (DMP) program in 2004, and then It was implemented in 2011, with the purpose of improving the continuity of treatment. Since the implementation of the project, nearly 500 million euros have been spent. However, currently only 400,000 users have electronic health records, which is far from the expected number of 5 million.
The electronic personal health record project suffered a disastrous failure. The project was initiated by Philip Duste-Blazy in 2004. After being put on hold for four years, it was restarted by Rosrina in 2008 and officially started in 2011. The losses caused by delaying the implementation of the project can never be compensated. This Saturday’s "Parisian" magazine quoted comments from health experts: As of January 2, 2014, only 41,181,011 personal health electronic records have been activated. However, our goal is to reach 5 million personal health record users by the end of 2013. This result is far from our expectations.
Although this development is very slow, the main goal of the project is to collect patient health information, It is easier for different doctors to exchange information during the treatment, but the cost is very high. An internal document published by "Parisian" shows that the National Quality and Care Coordinating Committee (CNQCS) is an organization mainly responsible for finding financial support and national trials, aiming to improve the city's medical standards. Since 2004, the project has cost nearly 500 million euros. The funds received are mainly for medical insurance.
The Court of Audit issued a report on electronic personal health records in 2013. I m& a budget, but the current actual expenditure is twice the budget at the time. The sages of Cambon Street (Cambon) have long estimated that the project will cost as much as 2.1 billion Euros between 2004 and the end of 2011. They also criticized the project for “severe lack of financial supervision”, which may “cause a financial impasse and eventually be forced to stop.” According to them, for example, the current cost of deploying and implementing the system is still unknown, which may lead to a cost. The new "spiral ascent".
Health Minister Heinara·Marisol (Marisol Touraine) said: The difficulties we face are very Obviously, medical staff are not yet adapted to this new medical record system.
In this context, the Minister of Health, Heinara Marisol, said: "This fall , Will implement the “new generation” of personal electronic health records.” In the current situation, her approach is to continue to implement this expensive project or simply abandon the project. The third way. The minister said: "The difficulty we are facing is obvious, that is, medical staff are not yet adapted to this new medical record system." Moreover, she also expressed the hope to establish an independent "review and supervision" project, which is currently mainly composed of shared health Controlled by the Information System Agency (Asip-Santé), established specifically for the technical development of personal health electronic records.
Develop the "second generation" personal health electronic record
If the trajectory of the government's actions is not clear yet, the release of the "second generation" personal health records has eased the criticism that has been raging in recent months. Dr. Claude, chairman of the French General Practitioners Union, explained in an interview with Le Monde: “It (personal health record) exists today, but it has not been used, and it does not help our daily professional practice. "Institut Edouard-Belin (Institut Edouard-Belin) president, Dr. Jean-Pierre Bloom questioned: "I don't know the practical significance of the existence of personal medical records."
< p style="text-indent: 2em; text-align: left;"> Gérard, a Socialist member from Haute-Garonne and chairman of the National Assembly "Digital and Health" research group (Gérard), he supports the revision of personal electronic records. Recently, he also published an article on 89th Street, criticizing the imbalance in the "benefits" and costs brought by personal health records. Today, he published a comment on The Parisian, warning that we are still underestimating the amount of cost overruns. Chairman Gérard explained: "We can add the cost of the hospital to adapt to the information equipment, training time, all real costs (except for the cost of directly starting the design of electronic records). This cost is likely to reach nearly one billion euros. !"
