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Master Thesis

Freins et leviers à l’utilisation du Dossier Médical Partagé : enquête qualitative auprès de 16 médecins généralistes des Pyrénées-Atlantiques en 2018

Abstract : Introduction: after 14 years of history, amendments and many critics, the Electronic Medical Record (EMR) is relaunched once again and must be generalized to the entire population by 2022. The results of the tests performed in 9 pilot french counties since 2016 seem encouraging, but in practice, the EMR remains largely underutilized. Why is the EMR hardly used by general practitioners? Methodology: a qualitative research through semi-structured interviews was conducted from December 2018 to February 2019. The analysis strategy is based on a phenomenological approach. Results: general practitioners lacked knowledge about the EMR, and feared it might be a time-consuming tool with technical malfunctions. Interoperability remained one of the main hindrances to the use of the EMR. Cybersecurity, safety, ethical and legal concerns did not seem to be prominent anymore. GPs were optimistic about the future of the EMD and its benefits, and hoped to see a tool that could suit their practices. Conclusion: the challenges that the EMR is currently facing can be superimposed to the ones it has confronted since its inception, but the increasing use of digitalized medicine should encourage its adoption. The EMR must develop gradually to be uptaken for general practice.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02494486
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Pierre-Olivier Renault. Freins et leviers à l’utilisation du Dossier Médical Partagé : enquête qualitative auprès de 16 médecins généralistes des Pyrénées-Atlantiques en 2018. Médecine humaine et pathologie. 2019. ⟨dumas-02494486⟩

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