{"id":23599,"date":"2024-09-30T09:32:07","date_gmt":"2024-09-30T07:32:07","guid":{"rendered":"https:\/\/news.save.ch\/?p=23599"},"modified":"2024-10-09T09:38:01","modified_gmt":"2024-10-09T07:38:01","slug":"bundesrat-stellt-weichen-fuer-die-weiterentwicklung-des-elektronischen-patientendossiers","status":null,"type":"post","link":"https:\/\/news.save.ch\/fr\/bundesrat-stellt-weichen-fuer-die-weiterentwicklung-des-elektronischen-patientendossiers\/","title":{"rendered":"Le Conseil f\u00e9d\u00e9ral pose des jalons pour le d\u00e9veloppement du dossier \u00e9lectronique du patient"},"content":{"rendered":"
\"\"<\/a>
Photo : Depositphotos\/DepositNovic<\/figcaption><\/figure>\n

En proc\u00e9dant \u00e0 une r\u00e9vision compl\u00e8te de la loi f\u00e9d\u00e9rale sur le dossier \u00e9lectronique du patient (LDEP), le Conseil f\u00e9d\u00e9ral entend d\u00e9velopper le DEP afin qu'il puisse d\u00e9ployer tout son potentiel. Afin de r\u00e9pondre \u00e0 la demande largement exprim\u00e9e lors de la proc\u00e9dure de consultation et d'augmenter l'utilisation du DEP, l'infrastructure technique du DEP doit d\u00e9sormais \u00eatre mise \u00e0 disposition de mani\u00e8re centralis\u00e9e par la Conf\u00e9d\u00e9ration. Le Conseil f\u00e9d\u00e9ral a pris cette d\u00e9cision d'orientation lors de sa s\u00e9ance du 27 septembre 2024. Cette adaptation sera int\u00e9gr\u00e9e dans le message relatif \u00e0 la r\u00e9vision de la LDEP.<\/p>\n

La loi f\u00e9d\u00e9rale sur le dossier \u00e9lectronique du patient (LDEP) sera r\u00e9vis\u00e9e en deux \u00e9tapes. Au printemps 2024, le Parlement a adopt\u00e9 un financement transitoire pour la diffusion et la promotion du DPE. Il entrera en vigueur le 1er octobre 2024. La Conf\u00e9d\u00e9ration pourra ainsi soutenir financi\u00e8rement les fournisseurs de DPE jusqu'\u00e0 ce que les mesures de la r\u00e9vision compl\u00e8te soient d\u00e9cid\u00e9es et mises en \u0153uvre.<\/p>\n

Afin d'am\u00e9liorer encore le dossier \u00e9lectronique du patient, le Conseil f\u00e9d\u00e9ral propose en outre une r\u00e9vision compl\u00e8te de la LDEP. Cette r\u00e9vision de la loi avait \u00e9t\u00e9 mise en consultation par le Conseil f\u00e9d\u00e9ral en \u00e9t\u00e9 2023. L'\u00e9valuation des prises de position a montr\u00e9 que la r\u00e9vision \u00e9tait largement approuv\u00e9e. Les r\u00f4les de la Conf\u00e9d\u00e9ration et des cantons doivent \u00eatre r\u00e9gl\u00e9s plus clairement et le financement du DPE doit \u00eatre assur\u00e9. A l'avenir, le DEP doit en outre \u00eatre utilis\u00e9 de mani\u00e8re obligatoire tout au long de la cha\u00eene de traitement. Outre les h\u00f4pitaux et les \u00e9tablissements de soins, les fournisseurs de prestations ambulatoires tels que les m\u00e9decins, les pharmaciens, les physioth\u00e9rapeutes et les chiropraticiens seront d\u00e9sormais tenus d'utiliser le DEP et d'y inscrire toutes les donn\u00e9es pertinentes pour le traitement. D\u00e9sormais, toutes les personnes r\u00e9sidant en Suisse et b\u00e9n\u00e9ficiant d'une assurance maladie ou militaire obligatoire re\u00e7oivent automatiquement et gratuitement un DPE. Les personnes qui ne veulent pas de dossier peuvent s'opposer \u00e0 l'ouverture du DPE (\"opt-out\"). Pour l'acc\u00e8s au DPE, il est pr\u00e9vu d'utiliser l'E-ID de l'Etat.<\/p>\n

Demande d'une plus grande centralisation<\/b><\/h3>\n

Les r\u00e9actions \u00e0 la consultation ont \u00e9galement montr\u00e9 qu'une majorit\u00e9 critique la structure d\u00e9centralis\u00e9e existante, d\u00e9cid\u00e9e lors de l'adoption de la LDEP, et souhaite une plus grande centralisation. Il s'agit notamment des cantons et de la plupart des partis politiques. Les souhaits de centralisation divergeaient fortement dans le d\u00e9tail et allaient d'une clarification des comp\u00e9tences \u00e0 un red\u00e9marrage complet ou \u00e0 une \u00e9tatisation. Le D\u00e9partement f\u00e9d\u00e9ral de l'int\u00e9rieur (DFI) et l'Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP) ont donc examin\u00e9 une centralisation et analys\u00e9 les variantes possibles.<\/p>\n

L'infrastructure technique du DPE, une t\u00e2che f\u00e9d\u00e9rale<\/h3>\n

Sur la base de ces clarifications, le Conseil f\u00e9d\u00e9ral a d\u00e9cid\u00e9 d'inclure une centralisation de l'infrastructure technique du DPE dans la r\u00e9vision globale. Actuellement, chacun des huit fournisseurs de DPE, appel\u00e9s communaut\u00e9s de base et communaut\u00e9s, dispose de sa propre infrastructure technique. Cette infrastructure technique doit d\u00e9sormais \u00eatre mise \u00e0 disposition par la Conf\u00e9d\u00e9ration sous la forme d'une plateforme unique.<\/p>\n

La Conf\u00e9d\u00e9ration se procurera l'infrastructure technique centrale par le biais d'un appel d'offres. Les co\u00fbts d'exploitation pour l'utilisation de la plateforme technique seront refactur\u00e9s aux communaut\u00e9s de base sous forme de frais d'utilisation.
\n<\/b><\/p>\n

R\u00e9partition claire des t\u00e2ches entre la Conf\u00e9d\u00e9ration, les cantons et les communaut\u00e9s de base<\/b><\/h3>\n

La centralisation technique permet \u00e9galement de d\u00e9finir plus clairement la r\u00e9partition des t\u00e2ches entre la Conf\u00e9d\u00e9ration, les cantons et les acteurs du DPE : La Conf\u00e9d\u00e9ration est responsable de l'acquisition de l'infrastructure technique centrale et de son d\u00e9veloppement. Les cantons doivent assurer l'exploitation d'au moins une communaut\u00e9 de base sur leur territoire. Les communaut\u00e9s de base proposent le DEP comme jusqu'\u00e0 pr\u00e9sent sur leur territoire de responsabilit\u00e9. Elles conseillent et soutiennent les patients et les fournisseurs de prestations lors du raccordement au DPE.<\/p>\n

Le Conseil f\u00e9d\u00e9ral est convaincu qu'une centralisation de l'infrastructure technique r\u00e9duit la complexit\u00e9 du syst\u00e8me ainsi que le nombre d'interfaces. Elle am\u00e9liore ainsi l'\u00e9change de donn\u00e9es sans faille (interop\u00e9rabilit\u00e9) entre les acteurs. Le d\u00e9veloppement du DEP devient ainsi plus simple et plus rapide. \u00c0 moyen et long terme, la centralisation devrait \u00e9galement \u00eatre avantageuse sur le plan financier.<\/p>\n

Le Conseil f\u00e9d\u00e9ral a charg\u00e9 le DFI d'inclure la centralisation de l'infrastructure technique pour le DPE dans la r\u00e9vision de la loi. Le message devrait \u00eatre soumis au Parlement au printemps 2025.<\/p>\n

Source : bag.admin.ch<\/em><\/p>","protected":false},"excerpt":{"rendered":"

Mit einer umfassenden Revision des Bundesgesetzes \u00fcber das elektronische Patientendossier (EPDG) will der Bundesrat das EPD weiterentwickeln, damit es sein volles Potenzial entfalten kann. Um der im Vernehmlassungsverfahren weithin ge\u00e4usserten Forderung nachzukommen und die Nutzung des EPD zu erh\u00f6hen, soll die technische Infrastruktur des EPD neu zentralisiert vom Bund zur Verf\u00fcgung gestellt werden. Der Bundesrat […]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pgc_sgb_lightbox_settings":"","footnotes":""},"categories":[3313,3314],"tags":[1964],"class_list":["post-23599","post","type-post","status-publish","format-standard","hentry","category-digitalisierung","category-health-safety","tag-elektronisches-patientendossier"],"acf":[],"hkrextid":null,"publication":null,"issue":null,"workflow":null,"startPage":null,"spitzmarke":null,"_posts_by_tag_page_fields":null,"_at_widget":null,"_yoast_wpseo_primary_category":"3313","_yoast_wpseo_focuskw_text_input":null,"_yoast_wpseo_opengraph-image":null,"_yoast_wpseo_opengraph-description":null,"_yoast_wpseo_opengraph-title":null,"enclosure":null,"_yoast_wpseo_twitter-title":null,"_yoast_wpseo_twitter-description":null,"_yoast_wpseo_twitter-image":null,"_wp_old_slug":null,"_yoast_wpseo_title":null,"_yoast_wpseo_canonical":null,"yoast_head":"\nBundesrat stellt Weichen f\u00fcr die Weiterentwicklung des elektronischen Patientendossiers - 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