Digital health roadmap, what are the results after three years?

The Digital Health Roadmap is celebrating its third anniversary. Introduced by former Minister of Health Agnès Buzyn in April 2019, its initial aim was to support professionals in transforming the French health system and enabling France to remain at the forefront of innovation. On the occasion of this anniversary, an evaluation was carried out. The result: it is rather positive.

In terms of financing, two envelopes have been placed on the table during these three years: a digital sigur with €2 billion aimed at accelerating the transformation of the sector disrupted by the health crisis linked to the Covid-19 pandemic and €670 million. Part of the Digital Health Acceleration Strategy to support innovation.

About twenty projects related to Covid

Within three years, several systems had been put in place on the professional and patient side. About twenty projects directly related to the Covid-19 epidemic, which played a catalytic role, including the TousAntiCovid application, the Screening Information System (SI-DEP), Health Traffic, etc. The development and deployment of these tools requires cooperation between several players, such as Assistance Publique – Hôpitaux de Paris (AP-HP), Health Insurance and the National Research Institute in Digital Sciences and Technology (Inria).

Apart from Covid, many devices have been deployed. Healthcare professionals are now using MSSanté to communicate with their colleagues. More than 10 million messages are changed every month, compared to about two million messages at the beginning of 2020. The idea behind this system is that professionals no longer use messaging systems that do not respect basic requirements for protecting personal data.

My Health Space bet

On the patient side, the Digital Health Roadmap enabled the launch of My Health Space. This single digital space currently offers two services: a medical file that stores all the health data of the insured (hospital report, medical examinations, etc.) and secure messages. Next, My Health Space will feature two new parts: a diary that will collect medical appointments as well as a catalog of health services and apps referenced by public authorities.

My health space aims to replace the Common Medical File (DMP) which has not been very successful. To avoid this failure, the government decided to force the creation of a sanitary space unless the person in question expressly refused. Thus, 65 million letters and emails will be sent to policyholders between February 3 and March 28, 2022. Without rejection on their part within six weeks of receiving the letter or email, a space was created automatically. It is still difficult to gauge the success of this device. We still have to wait a few months to see if the French took it.

The mixed success of the health data center

The health data center is also part of the provisions launched through the roadmap. This database integrates information from multiple systems. Researchers and companies should be allowed to conduct experiments. Thus, the startup Implicity obtained permission to use this data to develop a machine learning system to prevent acute heart failure attacks with hospitalization.

The health data center suffers from bad publicity. Microsoft Azure is still hosted, it should quickly change the provider, according to government promises. Meanwhile, concerns about trans-Atlantic data transmission are hampering this project.

The challenge of interoperability

However, progress is expected on several points, particularly interoperability. In fact, the lack of interoperability between most business software is a major challenge that must be resolved quickly in order for most new devices to work, particularly My Health Space. Headed by the Digital Health Agency (ANS), the Health Information Systems Interoperability Framework (CI-SIS) defines the rules for the delivery of health information technology in the health, medical, social and social domains. Provides technical and semantic bases for health actors with projects that must exchange and share health data. To develop the accreditation of these sections, a testing space is provided for players to test their compliance.

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