In little over a year, 100,000 people have volunteered to open their personal health record (DMP). Agency shared information systems of health (ASIP-Health) announced results Thursday at its annual conference. This virtual folder, which can gather on a server computer history, prescriptions, diagnosis, hospitalization reports or analysis, or CT images or MRI, is accessible and modifiable by healthcare professionals with the agreement of their patient.
While the PS deputy Gerard Bapt just requested an audit of the Court of Auditors, denouncing a device expensive and too centralized, the DMP driver, Jean-Yves Robin, director of the ASIP-Health, insisted yesterday: "Yes The DMP had its schedule. Yes, there on the ground. Yes, he has mastered its cost. "Let € 94 million for five years of experimentation, then 60 million to start the generalization. But, says Jean-Yves Robin, "we have yet to develop uses" – a folder contains on average 2 documents for the moment.
If the director of the ASIP-Health is struggling to hide a hint of annoyance is that the DMP was born with a disease that weakens always skepticism. Blame it on her "parents", Philippe Douste-Blazy and Xavier Bertrand, who in 2004 had promised to equip all the French mid-2007, to the point of wanting to lower repayments of those who would not use it. A flop.
Physicians bill pay
The project started from scratch in late 2009, driven by Roselyne Bachelot. Jean-Yves Robin hoped for a faster take-off – he had advanced "order of magnitude of 2 million cases opened in 2011." But he justifies, the first software that allows healthcare professionals to transfer data with a click of their computer to the DMP a patient arrived late (only 1% of doctors have them). Medical unions are also demanding more or less directly, compensation for time spent to update the DMP – they have not yet integrated this criterion in the "pay for performance" in general they just set place with Medicare. Finally, in 72 hospitals and clinics "converted" in 3000, opening a DMP is rarely offered routinely on admission, contrary to what the Health ASIP-imagined, but in only a few services.
Still, Jean-Yves Robin is convinced that the machine is, this time launched, with a number of cases opened each week steadily increasing (currently 3500). New goal: "300,000 cases by 2012, and a million DMP during the next year."
The candidate Francois Bayrou – joined by Philippe Douste-Blazy? – Wants to speed: for him, the DMP, and avoid repeat several times the same tests or prescribe medication incompatible, will save 4 billion per year. This figure "is not reasonable, disapproves of the president of the ASIP-Health, Michel Gagneux. It is a long term project, which will not yield savings anytime soon, although I am sure it will ultimately efficiency factor. Any expert who will quote any figure is lying to you. "
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