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首页> 外文会议>Data and knowledge for medical decision support >A comparison of English and French Approaches to Providing Patients Access to Summary Care Records: Scope, Consent, Cost
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A comparison of English and French Approaches to Providing Patients Access to Summary Care Records: Scope, Consent, Cost

机译：英法方法向患者提供简要护理记录的比较：范围，同意，费用

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摘要

Online access to records is part of the process of empowering patients. National health services in both France and England have introduced systems to provide online access to summary health data. The English system was called the "Summary Care Record (SCR)," made accessible to patients through "HealthSpace". The French system Dossier Medical Personnel (DMP) is a patient controlled record clinicians enter data into. The objective was to compare the programmes and lessons from the introduction of patient access. We carried out a literature review. The English system has been progressively de-scoped, with HeathSpace due to close in 2013, only 0.01% of the population signing up for "advanced accounts". The French system slowly grows as more documents are added; though only 0.31% of the population have opened a DMP. The English SCR has an opt-out consent model, whereas the French DMP is patient controlled opt-in consent model. The SCR sits within an NHS intranet while the DMP sits on the Internet. Both systems have costs of around 200million Euro. Providing patients online access to their medical records is potentially empowering. However, the English HealthSpace and SCR have failed to deliver and are due to be withdrawn as methods of providing patients online access. The French system is still in operation but much criticized for its high costs and low uptake. The design of these systems does not appear to have met patients' needs or been readily integrated into physicians workflow.
机译：在线访问记录是赋予患者权力过程的一部分。法国和英格兰的国家卫生服务部门都已引入系统，以提供对摘要卫生数据的在线访问。英文系统称为“摘要护理记录（SCR）”，患者可以通过“ HealthSpace”访问。法国档案系统医务人员系统（DMP）是患者控制的记录，可供临床医生输入数据。目的是比较引入病人通道的方案和经验教训。我们进行了文献综述。英语系统已逐步取消范围，HeathSpace将于2013年关闭，只有0.01％的人口注册“高级帐户”。随着更多文件的添加，法国系统逐渐发展。尽管只有0.31％的人口开设了DMP。英文SCR具有选择退出同意模型，而法语DMP是患者控制的选择同意模型。 SCR位于NHS内部网中，而DMP位于Internet上。这两个系统的成本约为2亿欧元。为患者提供在线访问其病历的功能可能具有一定的潜力。但是，English HealthSpace和SCR未能交付，并且将被撤消，作为向患者提供在线访问的方法。法国系统仍在运行，但因其成本高和使用率低而备受批评。这些系统的设计似乎无法满足患者的需求，也无法轻松地集成到医生的工作流程中。

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