{"id":36458,"date":"2025-02-10T23:00:00","date_gmt":"2025-02-10T22:00:00","guid":{"rendered":"https:\/\/www.efk.admin.ch\/?post_type=audit&p=36458"},"modified":"2025-02-13T09:54:30","modified_gmt":"2025-02-13T08:54:30","slug":"projet-cle-digisante","status":"publish","type":"audit","link":"https:\/\/www.efk.admin.ch\/fr\/audit\/projet-cle-digisante\/","title":{"rendered":"Projet cl\u00e9 : DigiSant\u00e9"},"content":{"rendered":"\n

Le Parlement et le Conseil f\u00e9d\u00e9ral ont constat\u00e9 qu\u2019il \u00e9tait urgent d\u2019agir dans le domaine de la num\u00e9risation du syst\u00e8me de sant\u00e9 afin d\u2019am\u00e9liorer l\u2019efficience de ce dernier, la qualit\u00e9 des traitements et la s\u00e9curit\u00e9 des patientes et patients. Pour ce faire, il est n\u00e9cessaire non seulement de disposer de donn\u00e9es standardis\u00e9es et fiables, mais \u00e9galement de rattraper l\u2019important retard pris en mati\u00e8re de num\u00e9risation, d\u2019optimisation des processus et d\u2019adaptation des structures. Le programme DigiSant\u00e9, qui comptait au d\u00e9part une cinquantaine de projets, a vocation \u00e0 permettre de relever les d\u00e9fis susmentionn\u00e9s. Il se trouve actuellement dans sa phase initiale, laquelle devrait s\u2019achever fin 2024 avec la validation du mandat correspondant. La Conf\u00e9d\u00e9ration entend investir environ 625 millions de francs dans ce programme au cours des dix prochaines ann\u00e9es.

DigiSant\u00e9 est un projet cl\u00e9 de la Conf\u00e9d\u00e9ration depuis avril 2023. C\u2019est la premi\u00e8re fois que le Contr\u00f4le f\u00e9d\u00e9ral des finances (CDF) le soumet \u00e0 un audit, qui avait pour but d\u2019en \u00e9valuer l\u2019orientation et la structure. L\u2019audit r\u00e9alis\u00e9 confirme que le programme DigiSant\u00e9 r\u00e9pond \u00e0 une v\u00e9ritable urgence et que les am\u00e9liorations vis\u00e9es sont effectivement n\u00e9cessaires. En outre, ce programme constitue un facteur cl\u00e9 dans la mise en oeuvre fructueuse de la strat\u00e9gie Sant\u00e92030. Les travaux entam\u00e9s vont dans la bonne direction.

Le risque principal r\u00e9side dans le manque de capacit\u00e9 pour la Conf\u00e9d\u00e9ration d\u2019agir dans un environnement complexe comportant de nombreux acteurs. Dans certains domaines, le Conseil f\u00e9d\u00e9ral n\u2019a aucun moyen d\u2019obliger les acteurs concern\u00e9s \u00e0 s\u2019impliquer. \u00c0 titre d\u2019exemple, certains standards relatifs aux donn\u00e9es ou certaines interfaces restent \u00e0 caract\u00e8re facultatif pour les acteurs du syst\u00e8me de sant\u00e9 et perdent ainsi de leur efficacit\u00e9. Tant que l\u2019on n\u2019adaptera pas la r\u00e9partition des t\u00e2ches qui s\u2019est \u00e9tablie au fil du temps dans le syst\u00e8me de sant\u00e9, l\u2019apport d\u2019am\u00e9liorations dans certains domaines demeurera incertain et les r\u00e9sultats du programme limit\u00e9s.<\/p>\n\n\n\n

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