The electronic patient file swallows up millions without convincing

The electronic patient file swallows up millions without convincing
The electronic patient file swallows up millions without convincing

Published on November 13, 2024 at 10:38. / Modified on November 13, 2024 at 10:40.

The 7th edition of the Health Forum, organized by “Le Temps” and Heidi.news, will explore the crucial issues of digital health. On the program: electronic patient records, cyberattacks in the medical sector, AI in healthcare and the most promising technological innovations.

Free event, upon registration.

  • Only 0.8% of the population has an electronic patient record in Switzerland.

  • Shunned, this tool must nevertheless convince to improve the digitalization of health.

  • Improvements are underway, but few concrete elements will be visible before 2028.

Who has already opened an electronic patient record (EPR)? If your answer is negative, you are part of the approximately 99.2% of the population who have not yet taken the plunge. With 76,795 files opened at the end of October – the equivalent of the city of St. Gallen – it is difficult not to speak of a flop seven years after the introduction of the federal law on the electronic patient file (LDEP). A failure confirmed in a report made public last year and commissioned by Cara, an association which manages the DEPs for five French-speaking cantons. The study is damning for this tool: too difficult to open, not useful and barely usable in its current state. Worse, “two thirds of the patients registered as part of this evaluation never reconnected to the platform subsequently,” note the authors.

For its part, the Federal Financial Control hit the nail on the head this spring with an audit which shows that “the problems have worsened” since 2019. The major concern is due to the “basic principles enshrined in the law, there is a ten years, as a decentralized private law organization of the DEP”, note the authors of the audit. To get around this pitfall, the Federal Council decided to centralize the technical infrastructure at the end of September. The Confederation will therefore have to be heavily involved in the management of this tool designed and put on the market with the desire to encourage competition. The shift is therefore quite radical.

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