法国电子健康发展的法律和组织障碍。

IF 0.1 Q4 LAW MEDICINE AND LAW Pub Date : 2015-09-01
Renaud Bouvet, Pierre Desmarais, Etienne Minvielle
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引用次数: 0

摘要

虽然电子健康在提高卫生系统的质量、安全性、功效和效率方面的潜力是众所周知的,但由于远程医疗的法律地位和国家参与,这些新工具的开发在欧洲和法国仍然不足-这是本文的重点。国家立法应通过指令加以协调,或通过条例加以标准化。根据文献中的建议,欧洲统一将大大减轻阻碍法国远程医疗的行政手续负担,并将导致出现以社区为基础的、不依赖医院的电子保健项目。合作协议的创建和通过治疗教育对患者角色的正式认可是实现这一目标的宝贵工具。因为监管过于严格而忽视这些工具将是一个错误,尤其是在财政激励正从治疗转向护理的情况下。
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LEGAL AND ORGANIZATIONAL BARRIERS TO THE DEVELOPMENT OF eHEALTH IN FRANCE.

Although the potential of eHealth in terms of improving quality, safety, efficacy and efficiency of health systems is known, the development of these new tools remains insufficient in Europe and also in France - the focus of the present article - due to the legal status of telemedicine and state involvement. National legislation should be harmonized by directives or standardized by regulations. European unification would considerably reduce the burden of administrative formalities that hold back telemedicine in France, and would lead to the emergence of community-based, non-hospital-dependent eHealth projects, in line with recommendations in the literature. The creation of cooperation protocols and the formal recognition of the patient's role via therapeutic education are valuable tools for achieving this goal. It would be an error to dismiss these tools because of the overly rigid regulations, especially now that financial incentives are shifting from cure to care.

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