France is 5 to 10 years behind most of its European neighbors in dematerializing medical prescriptions, warns the Court of Auditors in its report on the application of social security financing laws published at the beginning of October 2021.
Reduce expenses and fraud
Il est donc temps d’accélérer les choses car la dématérialisation des prescriptions medicales améliore la prize en charge sanitaire des patients, reduit les dépenses de santé et le risque d’erreurs et de fraudes au détriment de l’Assurance maladie, d’apres la Court of Accounts.
The good news is that the legislator has already taken hold of the issue. Therefore, by the end of 2021, doctors are expected to dematerialize all work stoppage prescriptions and, by the end of 2024, other prescriptions executed in the city. These are examinations performed by a medical specialist, acts of medical assistants and medical biology, as well as prescriptions for drugs and medical devices. These changes are part of the “Digital change in health” program, one of the components of the “Ma Santé 2022” government plan, presented in the fall of 2018.
These dematerialized prescriptions will feed the shared medical record (DMP) as well as the pharmaceutical record (PD) of the patient. Consultation of these devices by physicians before new prescriptions will promote consistency in the care pathway and reduce the risk of drug interactions. Note that the two files must be integrated from 2022 in “My health space”, an individual digital space that allows each citizen to store and share their health data.
A treasure trove of data
As the Court of Auditors points out, the dematerialization of prescriptions will provide the Health Insurance with valuable data that it does not have to date. Regarding medications, this allows information on the dose and duration of the treatments to be retrieved. With regard to work stoppages, the Health Insurance will be able to better understand the reasons.
The practical application of dematerialization is still too vague, regrets the Court of Auditors. Thus, a timetable for the implementation of the dematerialization of each type of prescription “would be useful to guide and inform the different actors about the upcoming deadlines.”
Regarding the deadlines already established, the French authority is quite pessimistic. The dematerialization of work stoppages should be complete by the end of 2021. This is far from the case today. For the other recipes, the final 2024 deadline could still be reached, but “in a degraded mode.”
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