{"id":16991,"date":"2024-04-17T09:39:17","date_gmt":"2024-04-17T07:39:17","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=16991"},"modified":"2026-08-09T09:05:22","modified_gmt":"2026-08-09T07:05:22","slug":"vos-dossiers-medicaux-un-bol-de-soupe","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/retrospective\/vos-dossiers-medicaux-un-bol-de-soupe\/","title":{"rendered":"Vos dossiers m\u00e9dicaux : un bol de soupe"},"content":{"rendered":"

Vous connaissez probablement d\u00e9j\u00e0 le dossier m\u00e9dical global ou DMG : vous l\u2019ouvrez aupr\u00e8s de votre m\u00e9decin g\u00e9n\u00e9raliste habituel et vous b\u00e9n\u00e9ficiez alors d\u2019un meilleur remboursement par consultation de la part de votre mutuelle. Mais existe-t-il aussi des inconv\u00e9nients ? Et qu\u2019est-ce alors que le DME ? Et avez-vous d\u00e9j\u00e0 entendu parler de HELENA ? Nous vous expliquons volontiers ces trois syst\u00e8mes en vous donnant les conseils appropri\u00e9s.<\/span><\/p>\n

DME : dossier m\u00e9dical \u00e9lectronique<\/span><\/p>\n

Tant qu\u2019il n\u2019y avait pas d\u2019ordinateur dans les cabinets de m\u00e9decine g\u00e9n\u00e9rale, les m\u00e9decins r\u00e9digeaient les dossiers des patients \u00e0 la main. Ils \u00e9crivaient pendant que le patient parlait. Ensuite, ils classaient les informations recueillies selon le \u00ab syst\u00e8me SOAP \u00bb : Subjectif, Objectif, \u00c9valuation et Planification.<\/span><\/p>\n

Subjectif : tout ce que les patients racontent, leurs d\u00e9clarations, plaintes, signes et sympt\u00f4mes.<\/span><\/p>\n

Objectif : les constatations du m\u00e9decin. Mesures, faits et param\u00e8tres. Ce qu\u2019il entend au st\u00e9thoscope par exemple.<\/span><\/p>\n

\u00c9valuation : le diagnostic ou la conclusion de l\u2019analyse m\u00e9dicale, d\u2019o\u00f9 d\u00e9coulent les d\u00e9cisions concernant les soins n\u00e9cessaires.<\/span><\/p>\n

Planification : les conclusions de la consultation et leurs cons\u00e9quences, comme les prescriptions de m\u00e9dicaments, les certificats d\u2019absence, les lettres d\u2019orientation\u2026<\/span><\/p>\n

C\u2019est ainsi qu\u2019est n\u00e9e toute une liasse de papiers, qui grossissait \u00e0 chaque consultation.<\/span><\/p>\n

Vers 1995, l\u2019ordinateur a \u00e9t\u00e9 introduit dans le cabinet m\u00e9dical Papenvest Medical. Les m\u00e9decins continuent d\u2019utiliser le syst\u00e8me SOAP, mais d\u00e9sormais \u00e0 l\u2019\u00e9cran au lieu du papier. Tout ce qui figurait autrefois dans le dossier papier est maintenant soigneusement conserv\u00e9 dans l\u2019ordinateur. C\u2019est ce qu\u2019on appelle le \u00ab dossier m\u00e9dical \u00e9lectronique \u00bb ou DME.<\/span><\/p>\n

Il s\u2019agit d\u2019une mani\u00e8re plus efficace de conserver vos donn\u00e9es m\u00e9dicales. De plus, il est possible de relier votre dossier m\u00e9dical chez un m\u00e9decin \u00e0 d\u2019autres dossiers m\u00e9dicaux que vous pourriez avoir, dans un h\u00f4pital ou chez un sp\u00e9cialiste. Cela est particuli\u00e8rement avantageux pour vous en tant que patient lorsque votre dossier m\u00e9dical est complexe. Cela permet \u00e0 tous les m\u00e9decins qui vous traitent d\u2019avoir acc\u00e8s \u00e0 des donn\u00e9es importantes, comme les diagnostics ant\u00e9rieurs et les m\u00e9dicaments utilis\u00e9s.<\/span><\/p>\n

DMG : dossier m\u00e9dical global<\/span><\/p>\n

Les autorit\u00e9s reconnaissent que les m\u00e9decins g\u00e9n\u00e9ralistes jouent un r\u00f4le central dans notre syst\u00e8me de sant\u00e9. Le m\u00e9decin g\u00e9n\u00e9raliste est la personne id\u00e9ale pour constituer une vue d\u2019ensemble compl\u00e8te du dossier m\u00e9dical d\u2019un patient. Afin d\u2019encourager les patients et les m\u00e9decins \u00e0 tirer parti de cet avantage, les autorit\u00e9s ont mis en place un syst\u00e8me : le dossier m\u00e9dical global.<\/span><\/p>\n

Le syst\u00e8me du DMG motive le m\u00e9decin g\u00e9n\u00e9raliste, gr\u00e2ce \u00e0 une r\u00e9mun\u00e9ration plus \u00e9lev\u00e9e, \u00e0 maintenir le dossier du patient correctement \u00e0 jour, m\u00eame pour les patients qui ne viennent pas r\u00e9guli\u00e8rement en consultation. D\u2019autre part, il encourage le patient, gr\u00e2ce \u00e0 un remboursement accru, \u00e0 toujours consulter le m\u00eame m\u00e9decin g\u00e9n\u00e9raliste.<\/span><\/p>\n

Pour b\u00e9n\u00e9ficier de ce remboursement major\u00e9, vous ouvrez un DMG aupr\u00e8s de votre cabinet m\u00e9dical. D\u00e8s lors, un rapport est syst\u00e9matiquement envoy\u00e9 \u00e0 ce cabinet lorsque vous consultez ailleurs dans le syst\u00e8me de sant\u00e9, par exemple dans un h\u00f4pital. Les informations aboutissent alors automatiquement dans votre dossier m\u00e9dical \u00e9lectronique via \u00ab e-Connect \u00bb, la plateforme m\u00e9dicale \u00e0 laquelle notre cabinet est \u00e9galement affili\u00e9.<\/span><\/p>\n

HELENA<\/span><\/p>\n

Gr\u00e2ce \u00e0 e-Connect, vous pouvez \u00e9galement utiliser HELENA : un r\u00e9seau s\u00e9curis\u00e9 permettant l\u2019\u00e9change de donn\u00e9es m\u00e9dicales. \u00c0 terme, ce syst\u00e8me remplacera tous les e-mails et documents papier dans le secteur des soins de sant\u00e9.<\/span><\/p>\n

Votre m\u00e9decin g\u00e9n\u00e9raliste peut vous transmettre via HELENA toutes sortes d\u2019informations et de certificats : ordonnances renouvelables, brochures destin\u00e9es aux patients, lettres de renvoi, r\u00e9sultats de laboratoire, convocations pour des examens, vaccinations et contr\u00f4les, etc.<\/span><\/p>\n

En tant que patient, vous pouvez consulter via HELENA un r\u00e9sum\u00e9 de votre dossier m\u00e9dical. Vous y retrouverez par exemple votre historique m\u00e9dical, des informations sur vos vaccinations et vos m\u00e9dicaments. Vous pouvez demander l\u2019acc\u00e8s \u00e0 ce syst\u00e8me aupr\u00e8s du cabinet m\u00e9dical en mentionnant votre adresse e-mail.<\/span><\/p>\n

Vous avez des questions concernant le DME, le DMG ou HELENA, ou vous souhaitez utiliser l\u2019un de ces services ? N\u2019h\u00e9sitez pas \u00e0 nous contacter, nous serons heureux de vous aider.<\/span><\/p>\n

Note critique<\/span><\/p>\n

Peut-\u00eatre vous interrogez-vous sur l\u2019\u00e9change \u00e9lectronique d\u2019informations m\u00e9dicales confidentielles tel qu\u2019il se pratique aujourd\u2019hui \u00e0 grande \u00e9chelle via e-Connect. Nous vous recommandons en effet de bien r\u00e9fl\u00e9chir aux donn\u00e9es que vous souhaitez confier \u00e0 ces r\u00e9seaux quasi illimit\u00e9s et interconnect\u00e9s.<\/span><\/p>\n

Il y a ind\u00e9niablement un avantage au fait que vos donn\u00e9es m\u00e9dicales soient toujours disponibles lorsque cela est n\u00e9cessaire. Mais nous devons certainement nous interroger sur le traitement confidentiel de ces informations. Qui y a acc\u00e8s ? Pouvez-vous faire effacer certaines donn\u00e9es ? Les m\u00e9decins de Papenvest Medical surveillent avec esprit critique et rigueur afin que le syst\u00e8me ne d\u00e9rape pas.<\/span><\/p>\n

Le saviez-vous ?<\/span><\/p>\n

Au d\u00e9but des ann\u00e9es 1980, lorsque le docteur Van Breusegem commen\u00e7ait sa carri\u00e8re de m\u00e9decin g\u00e9n\u00e9raliste, les ordinateurs faisaient progressivement leur entr\u00e9e dans les foyers et les bureaux. \u00c0 cette \u00e9poque, ils \u00e9taient principalement utilis\u00e9s comme traitement de texte \u00e9lectronique. Le docteur Van Breusegem lui-m\u00eame en faisait d\u00e9j\u00e0 un usage enthousiaste \u00e0 domicile pour ses activit\u00e9s litt\u00e9raires avant d\u2019introduire le PC dans le cabinet m\u00e9dical Papenvest Medical.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Vous connaissez probablement d\u00e9j\u00e0 le dossier m\u00e9dical global ou DMG : vous l\u2019ouvrez aupr\u00e8s de votre m\u00e9decin g\u00e9n\u00e9raliste habituel et vous […]<\/a><\/p>\n","protected":false},"author":1,"featured_media":16992,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[365],"tags":[336],"class_list":["post-16991","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-retrospective","tag-admin","authors-admin"],"acf":[],"yoast_head":"\nVos dossiers m\u00e9dicaux : un bol de soupe - dirk van babylon<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dirkvanbabylon.com\/fr\/retrospective\/vos-dossiers-medicaux-un-bol-de-soupe\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vos dossiers m\u00e9dicaux : un bol de soupe - 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