At a time when the world is slowly recovering from the health crisis, digital healthcare seems to be deployed as an essential contribution to improve equality of care at all points of the territory. The digital health agency, with its 170 employees, is involved in the digital transition, in France and in Europe.
The pandemic which has paralyzed the world has highlighted the shortcomings and inadequacies in the organization of our health systems. Even though healthcare in France is of high quality, it is essential today to guarantee access to healthcare for all and to optimize it thanks to digital technology.
Digitization: closing the gaps in access to healthcare
Personal or geographic isolation is the worst enemy of access to healthcare. In 2020, 360,000 French people lived in a medical desert. These areas are conducive to the use of digital solutions such as telemedicine and tele-care. Obviously, this implies medical know-how, because digital technology is not intended to replace the human relationship or the need to be able to perform a physical examination in certain situations. Digital technology only complements other more usual forms of patient care, without degrading their quality.
In medical deserts, rural as well as urban, digital technology can help many people, who for lack of mobility or time, can neglect their medical follow-up. The shared medical record could improve this by promoting the sharing of information by the patient with a remote physician and even with other health professions. This digital health record keeps and secures medical data such as analyzes, examination reports, vaccines, allergies etc. It therefore allows a shared knowledge between the health professionals chosen by the patient which could be an enormous time saving for the follow-up of the state of health of a person, while guaranteeing the respect of his private life since the access to the DMP is reserved for professionals intervening in the health system and placed under the control of access by the patient.
Large cities are not immune to isolation either. Because of Covid-19, many people have found themselves alone in cramped housing. Particularly the students, in whom a real psychological distress is installed. Digital has once again shown itself up to the task of providing assistance and follow-up. The public authorities have set up the student psychiatric health system, making it possible to follow a course of psychological care with a professional, free of charge, via remote consultation.
The ANS: guarantor of the smooth running of the digital transition in health
Digitization in healthcare necessarily involves issues of sensitive personal data circulating between several entities. For many users, the fear of their information being taken away for unethical purposes is the main reason for their distrust of digital technology. The ANS provides the technical standards to guarantee the encryption of personal data and the protection of the databases that contain them.
The secure hosting of health data is guaranteed by law under the control of the National Commission for Information Technology and Freedoms, which is extremely vigilant. The ANS actively contributes to this in the stages of the digital health roadmap set by the 2019 law aimed at making digital technology an asset for greater efficiency of the health system in the care and monitoring of patients. .
The ANS plays a technical and practical role under the political and strategic authority of the Ministerial Delegation for Digital Health, for the deployment of national digital programs. She is currently working intensely with the CNAM for the creation of a personal digital space for each citizen “My Health Space” which will contain, in addition to the DMP, a secure health messaging system, a health agenda and health apps, certified by the health authorities. , which the patient can download.
The ANS also cooperates with the National Health Insurance Fund on a digital prescription system thus making the journey between prescription by a doctor and dispensing by a pharmacist more fluid.
The ANS also provides support for the computerization of medico-social establishments and digital health initiatives in the regions with the regional health agencies and the regional groupings to help deploy e-health.
Digital health supported by the State
During the Ségur de la santé, the Ministry of Social Affairs and Health showed that it firmly believes in digital health. 2 billion euros have been released by the government for digital health investments, 600 million euros for the medico-social sector, strongly mobilized during the health crisis, and 1.4 billion euros to upgrade all software and thus homogenize services. This massive funding aims to generalize the exchange and sharing of secure health data between professionals, between the city and the establishments, with the agreement of the patient in order to improve his care, in his care path and his follow-up over time. The ANS is responsible for verifying and making public the eligibility of software for funding.
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