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Electronic Health Record (Dossier Médical Personnel) as a Major Tool to Improve Healthcare in France: An Approach through the Situational Semiotic

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Networked Digital Technologies (NDT 2010)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 88))

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Abstract

In France, Electronic Health Record (Dossier Médical Personnel or DMP) is considered as a main tool to improve Healthcare to go beyond “walls” and “curtains” between various professions and organizations having their own logics. In a constructivist and systemic approach, we analyze this socio-technical object using the methodology of the Situational Semiotic orSémiotique Situationnelle (A. Mucchielli) to highlight the significance of an activity from different frameworks or contexts: actors (especially General Practioners in the primary care, patients and institutions) and their positions, stakes, standards, quality of relationships, values. We particularly insist on the importance of building trust around the use of this new tool.

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References

  1. Callon, M.: Sociologie de l’Acteur Réseau. In: Akrich, M., Callon, M., Latour, B., et al. (eds.) Sociologie de la traduction: Textes fondateurs, Presses de l’Ecole des Mines de Paris, pp. 267–276 (2006)

    Google Scholar 

  2. Mucchielli, A., Noy, C.: Etude des communications: Approches constructivistes, Paris, Armand Colin, 239 p. (2005)

    Google Scholar 

  3. Le Cardinal, G., Guyonnet, J.-F., Pouzoullic, B., Rigby, J.: Intervention Methodology for complex problems: The FAcT-Mirror method. European Journal of Operational Research 132, 694–702 (2001)

    Article  MATH  Google Scholar 

  4. Glouberman, S., Mintzberg, H.: Managing the Care of Health and the Cure of Disease. Health Care Management Review, 56–84 (2001)

    Google Scholar 

  5. Grimson, J., Grimson, W., Hasselbring, W.: The SI challenge in Health Care. Communications of the ACM 43(6), 49–55 (2000)

    Article  Google Scholar 

  6. Bourret, C.: Les enjeux de la construction de la confiance autour du dossier médical personnel (DMP). In: Actes du 6e colloque international du chapitre français de l’ISKO (International Society for Knowledge Organization), Organisation des connaissances et société des savoirs: concepts, usages, acteurs, Université Toulouse III – LERASS (MICS), pp. 275–291 (2007)

    Google Scholar 

  7. Fieschi, M.: Les données du patient partagées: la culture du partage et de la qualité des informations pour améliorer la qualité des soins. Rapport remis au ministre de la santé, Paris, 55 p. (2003), http://www.asipsante.fr/docs/Rapport_fieschi.pdf

  8. Baoretto, Y., Dumas, P., Gagneux, M., Romenteau, P., Cholley, F.: Rapport de la mission interministérielle de revue de projet sur le dossier médical personnel (DMP), Paris, Inspection général des Finances, Inspection générale des Affaires Sociales, Conseil général des technologies de l’information, 66 p. + annexes (2007), http://lesrapports.ladocumentationfrancaise.fr/BRP/074000713/0000.pdf

  9. Door, J.-P.: Présenté par, Le dossier médical personnel, rapport de la commission parlementaire, Paris, Assemblée Nationale (Janvier 2008), http://www.assemblee-nationale.fr/13/pdf/rap-info/i0659.pdf

  10. Gagneux, M.: Mission de relance du projet de DMP: Pour un dossier patient virtuel et partagé et pour une stratégie nationale de système d’information de santé, rapport remis au ministre de la santé (Avril 2008), http://www.sante-jeunesse-sports.gouv.fr/IMG/pdf/Rapport _DMP_mission_Gagneux.pdf

  11. Bourret, C.: The implementation of Information Systems as major stake in the development of innovative organizations of interface to improve the French Healthcare System. In: Proceedings (Full Papers) IADIS (International Association for Development of Information Society) Annual Conference e-Society 2009, Barcelona, pp. 307-315 (2009)

    Google Scholar 

  12. Fieschi, M.: La gouvernance de l’interopérabilité sémantique est au cœur du développement des systèmes d’information en santé. Rapport remis à la ministre de la Santé et des Sports, Paris, 66 p. (2009), http://lesrapports.ladocumentationfrancaise.fr/BRP/094000394/0000.pdf

  13. ASIP, Agence des Systèmes d’Information Partagés en Santé, http://asipsante.fr

  14. Sémiotique situationnelle Website (A. Mucchielli), www.semio.com

  15. Shortell, S.M., Gillies, R.R., Anderson, D.A., Erickson, K.M., Mitchell, J.B.: Remaking Health Care in America. In: Building Organized Delivery Systems, Jossey Bass, San Francisco, 369 p. (1996)

    Google Scholar 

  16. Musso, P.: Critique des réseaux, PUF, Paris, PUF, 373 p (2003)

    Google Scholar 

  17. Stiglitz, J.E.: Le triomphe de la cupidité, Editions LLL Les Liens qui Libèrent, 474 p. (2010)

    Google Scholar 

  18. Rosanvallon P., La nouvelle question sociale. Repenser l’Etat-providence, Editions du Seuil, Points-Essais, Paris, 222 p. (1995, rééd., 2001)

    Google Scholar 

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Bourret, C. (2010). Electronic Health Record (Dossier Médical Personnel) as a Major Tool to Improve Healthcare in France: An Approach through the Situational Semiotic. In: Zavoral, F., Yaghob, J., Pichappan, P., El-Qawasmeh, E. (eds) Networked Digital Technologies. NDT 2010. Communications in Computer and Information Science, vol 88. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14306-9_2

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  • DOI: https://doi.org/10.1007/978-3-642-14306-9_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-14305-2

  • Online ISBN: 978-3-642-14306-9

  • eBook Packages: Computer ScienceComputer Science (R0)

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