The thwarted lives of the shared medical record (DMP) (notice n° 1530973)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03530cam a2200325 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251012014404.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Klein, Nicolas |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | The thwarted lives of the shared medical record (DMP) |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2025.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 24 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | This article traces the still little-known history of the shared medical record (DMP) by analysing the representations, decisions and practices that have governed its many development projects at national level, from its creation in the 2000s to its recent integration into the “Mon espace santé” portal, which came to fruition in 2022. From an analytical perspective, the DMP should be seen as an innovation whose trajectory, and in particular its extraordinary genesis, warrants retracing. The shared medical record has been characterised by cyclical phases of problems, suspensions and relaunches, and, twenty years after its inception, it remains unstable and has yet to fully achieve its initial objectives. By paying attention to the multiple timeframes of the innovation process, the analysis brings to light the two main conceptions of health IT that have underpinned the development of the DMP. It also highlights the importance of the political and institutional context, the instability of the project’s governance and the role played by several of its players, which contributed to hampering the implementation efforts undertaken. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’article retrace l’histoire encore mal connue du dossier médical partagé (DMP) en analysant les représentations, les décisions et les pratiques qui ont présidé, à l’échelle nationale, à ses multiples pro- jets de développement, depuis sa création au cours des années 2000 jusqu’à son récent projet d’intégration au sein du portail « Mon es- pace santé », qui s’est concrétisé en 2022. La perspective d’analyse invite à considérer le DMP comme une innovation dont il importe de retracer la trajectoire et, notamment, l’extraordinaire genèse. Le dossier médical partagé a en effet pour caractéristique d’avoir donné lieu à des phases cycliques de difficultés, d’arrêt et de relance, et, 20 ans après son démarrage, de ne pas être totalement stabilisé et de ne pas avoir encore atteint les objectifs fixés initialement. En prêtant attention aux temporalités multiples du processus d’innovation, l’analyse met au jour les deux grandes conceptions de l’informatique de santé qui ont sous-tendu les modalités de développement du DMP. Elle met également en évidence l’importance du contexte politique et institutionnel, ainsi que l’instabilité des modalités de gouvernance du projet et le rôle joué par plusieurs de ses acteurs, qui ont contribué à entraver les efforts de traduction mis en œuvre. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Dossier informatisé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dossier médical partagé (DMP) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | innova- tion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | instrument d’action publique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | numérique en santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | digital health |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | DMP (dossier médical partagé) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | electronic health record |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | innovation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | public policy instrument |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | shared medical record |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mathieu-Fritz, Alexandre |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Crisp, John |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Réseaux | o 249-250 | 1-2 | 2025-03-31 | p. 85-122 | 0751-7971 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-reseaux-2025-1-2-page-85?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-reseaux-2025-1-2-page-85?lang=en&redirect-ssocas=7080</a> |
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