Diffusion of e-health tools and services to their users: the example of “Mon Espace Santé“ in France (notice n° 492313)
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| fixed length control field | 05858cam a2200433 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121075023.0 |
| 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 | Hayar, Said |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Diffusion of e-health tools and services to their users: the example of “Mon Espace Santé“ in France |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 74 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Public authorities are keen to take advantage of the opportunities offered by digital healthcare to improve patient information and care, while combating health inequalities across the country. However, in France, while the digital transformation of the healthcare sector has developed considerably over the last fifteen years, the results have been highly variable and sometimes still rather disappointing. In order to strengthen and accelerate this digital transformation, many studies have described in detail the methods and factors that encourage the adoption and appropriation of digital tools and services in healthcare. However, far fewer studies have focused on the phase of diffusion of these tools and services to users, even though this has a significant impact on their adoption and appropriation. To fill this gap, based on the theory of the diffusion of innovations, we propose to analyse the ways in which the “Mon espace santé” tool proposed and implemented by the Caisse nationale d’assurance maladie in France is disseminated to its users. Based on observational participation within the teams responsible for disseminating this tool, we describe the elements of the diffusion of this digital innovation (social system, innovation, communication channels, time). The results of this analysis enable us to propose a theoretical framework for analysing the diffusion of digital innovations in healthcare. The application of this analytical framework then allows us to characterise the ways in which user-centred digital health innovations are disseminated, alongside those relating to their design, which are already well illustrated in the literature. These methods are illustrated through the main components of the dissemination of the “Mon espace santé” tool (different user roles, communication channels used and diffusion stages) and three of its guiding principles (user-actor, State-platform, and user-centred incentive deployment). In practical terms, these components and principles of dissemination represent avenues for improving the diffusion of digital health innovations in the public sector. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les pouvoirs publics souhaitent tirer parti des perspectives offertes par le numérique en santé pour améliorer l’information et la prise en charge des patients tout en luttant contre les inégalités de santé dans les territoires. Cependant, en France, si au cours des quinze dernières années, cette transformation digitale du secteur de la santé s’est particulièrement développée, elle a aussi connu des résultats très variables et parfois encore assez décevants. Pour notamment renforcer et accélérer cette transformation digitale, de nombreux travaux ont décrit en détail les modalités et facteurs favorisant l’adoption et l’appropriation des outils et services numériques en santé. En revanche, beaucoup moins de travaux ont porté leur attention sur la phase de diffusion aux utilisateurs de ces outils et services alors qu’elle détermine significativement leur adoption et appropriation. Pour combler ce manque, à partir de la théorie de la diffusion des innovations, nous proposons d’analyser les modalités de diffusion à ses utilisateurs de l’outil « Mon espace santé » proposé et mis en œuvre par la Caisse nationale d’assurance maladie en France. À partir d’une participation observante au sein des équipes chargées de la diffusion de cet outil, nous décrivons les éléments de diffusion de cette innovation digitale (système social, innovation, canaux de communication, temps). Les résultats de cette analyse nous permettent, dans un premier temps, sur le plan théorique, de proposer un premier cadre d’analyse de la diffusion des innovations digitales en santé. L’application de ce cadre d’analyse nous autorise ensuite une caractérisation des modalités de diffusion de l’innovation digitale en santé « centrée sur l’usager » aux côtés de celles relatives à sa conception déjà très illustrées dans la littérature. Ces modalités sont décrites à travers les principales composantes de la diffusion de « Mon espace santé » (différents rôles de l’usager, canaux de communication utilisés et étapes de diffusion) et trois de ses principes directeurs (usager-acteur, État-plateforme, déploiement incitatif centré sur l’usager). Sur le plan pratique, ces composantes et principes de diffusion représentent autant de pistes d’amélioration de la diffusion des innovations digitales en santé dans le secteur public. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Diffusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Implémentation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | e-santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Innovation digitale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | « Mon espace santé » |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Diffusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Implémentation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | e-santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Innovation digitale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | « Mon espace santé » |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Diffusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | “Mon espace santé” |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Implementation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Digital innovation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | e-health |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Diffusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | “Mon espace santé” |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Implementation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Digital innovation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | e-health |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mériade, Laurent |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Duvauchel, Anne-Gaelle |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gestion et management public | 12 | 3 | 2024-09-20 | p. 9-29 | 2116-8865 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-gestion-et-management-public-2024-3-page-9?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-gestion-et-management-public-2024-3-page-9?lang=en&redirect-ssocas=7080</a> |
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