Relaunched in September 2018 by Nicolas Revel, the former boss of the CNAM now director of Jean Castex's cabinet, the shared medical record (DMP) - this digital health record which records the history and information of each patient - has passed the bar 9.3 million files, according to the latest figures from Medicare. Still far from the 40 million files targeted by the executive by 2023. The health crisis has put a brake on its deployment: the number of open DMPs fell to 3,000 per day during the epidemic, while it fluctuated between 13,000 and 20,000 during the first quarter of 2020. The pace picks up with 8,000 new cases opened per day. If health professionals are at the origin of 40% of these creations (including 28% in pharmacies), 40% are initiated in the Cpam, and 20% by the insured themselves.
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Real Arles and financial abyss since its creation in 2004, the DMP has improved markedly since it was taken over by Medicare. “ Since 2018, the Cnam has improved the DMP by giving patients the opportunity to open their file themselves. In addition, the DMP are never empty, since they are automatically fed by two years of care history ” , indicates the Modem deputy Cyrille Isaac-Sibille in a report consulted by Le Figaro, before its examination Tuesday by the mission control of social security financing laws, and Wednesday by the Social Affairs Committee of the Assembly.
But, progress remains to be made. The risk today is to want to open a maximum of DMP, fed in an automated way without professionals being able to navigate. For doctors to use it on a massive scale, " we still have to go from a DMP designed as a catch-all safe ", where documents accumulate without order, to a " structured, orderly, readable and therefore useful file" Recommends the report. In short, it is essential to now launch the DMP scheduling project.