{"id":40643,"date":"2025-10-22T23:00:00","date_gmt":"2025-10-22T21:00:00","guid":{"rendered":"https:\/\/www.efk.admin.ch\/?post_type=audit&#038;p=40643"},"modified":"2025-10-23T10:55:46","modified_gmt":"2025-10-23T08:55:46","slug":"developpement-du-dossier-electronique-du-patient","status":"publish","type":"audit","link":"https:\/\/www.efk.admin.ch\/fr\/audit\/developpement-du-dossier-electronique-du-patient\/","title":{"rendered":"D\u00e9veloppement du dossier \u00e9lectronique du patient"},"content":{"rendered":"\n<p>Toute personne domicili\u00e9e en Suisse peut d\u00e9sormais, si elle le souhaite, ouvrir un dossier \u00e9lectronique du patient (DEP). Ce dossier est destin\u00e9 \u00e0 contenir des documents relatifs \u00e0 sa sant\u00e9, tels le rapport de sortie d\u2019un h\u00f4pital, le rapport de suivi du service d\u2019aide et de soins \u00e0 domicile ou une liste de m\u00e9dication. Tant le titulaire du DEP que les professionnels de la sant\u00e9 auxquels il a express\u00e9ment accord\u00e9 un droit d\u2019acc\u00e8s peuvent consulter ces informations \u00e0 tout moment via une connexion Internet s\u00e9curis\u00e9e.<br><br>L\u2019introduction du DEP n\u2019a pas encore rencontr\u00e9 le succ\u00e8s escompt\u00e9. En 2024, moins de 80 000 personnes avaient ouvert un dossier3. De plus, les h\u00f4pitaux et les \u00e9tablissements m\u00e9dico-sociaux (EMS) ne sont pas encore tous affili\u00e9s au DEP, alors qu\u2019ils y sont tenus par la loi depuis, respectivement, 2020 et 2022. Pr\u00e9occup\u00e9 par cette situation, le Conseil f\u00e9d\u00e9ral a charg\u00e9 en 2022 l\u2019Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP) de proc\u00e9der \u00e0 deux adaptations l\u00e9gales. Il souhaitait tout d\u2019abord mettre rapidement en place un financement transitoire, afin de favoriser le maintien du DEP et d\u2019encourager sa diffusion par les communaut\u00e9s de r\u00e9f\u00e9rence. Le D\u00e9partement f\u00e9d\u00e9ral de l\u2019int\u00e9rieur devait ensuite soumettre la loi f\u00e9d\u00e9rale sur le DEP (LDEP) \u00e0 un examen approfondi. Se fondant sur les r\u00e9sultats de cet examen, le Conseil f\u00e9d\u00e9ral a d\u00e9cid\u00e9 de lancer une r\u00e9vision de la LDEP, qui devrait \u00eatre soumise au Parlement en 2025.<br><br>Le Contr\u00f4le f\u00e9d\u00e9ral des finances (CDF) a examin\u00e9 si la r\u00e9orientation du DEP, telle qu\u2019elle est pr\u00e9vue dans le projet de r\u00e9vision de la LDEP, favorisera la r\u00e9alisation de l\u2019objectif d\u00e9fini. Il a conclu qu\u2019au moment de la consultation des offices en janvier 2025, les documents pr\u00e9sentant la r\u00e9vision n\u2019\u00e9taient pas encore assez \u00e9tay\u00e9s pour permettre au Conseil f\u00e9d\u00e9ral et au Parlement de prendre une d\u00e9cision en toute connaissance de cause. Des \u00e9l\u00e9ments essentiels faisaient d\u00e9faut, de sorte qu\u2019il s\u2019av\u00e9rait impossible d\u2019\u00e9valuer l\u2019efficacit\u00e9, l\u2019ad\u00e9quation et l\u2019\u00e9conomicit\u00e9 des mesures et leurs r\u00e9percussions sur le syst\u00e8me de sant\u00e9. Le CDF a communiqu\u00e9 les conclusions de son examen aux services comp\u00e9tents avant m\u00eame la fin de la consultation ordinaire des offices.<br><br>Le CDF a identifi\u00e9 plusieurs \u00e9l\u00e9ments montrant que le positionnement du DEP reste flou. Poursuivre le projet sans davantage de pr\u00e9cisions comporterait donc plusieurs risques : une solution transitoire s\u2019av\u00e9rerait par trop co\u00fbteuse et, au lieu de contribuer \u00e0 r\u00e9duire les co\u00fbts de la sant\u00e9, le projet engendrerait des charges suppl\u00e9mentaires consid\u00e9rables pour les institutions de sant\u00e9. Tel qu\u2019il est con\u00e7u, le projet de DEP risque de n\u2019avoir qu\u2019une utilit\u00e9 limit\u00e9e faute de num\u00e9risation de bout en bout des processus et de s\u2019av\u00e9rer incompatible avec des syst\u00e8mes ult\u00e9rieurs. Afin d\u2019\u00e9viter ces risques, l\u2019OFSP ne devrait pas poursuivre le d\u00e9veloppement du DEP avant que le programme DigiSant\u00e9 soit suffisamment avanc\u00e9 pour d\u00e9terminer s\u2019il sera possible d\u2019int\u00e9grer automatiquement des donn\u00e9es dans le DEP et, si oui, comment. On parviendrait ainsi \u00e0 une solution int\u00e9gr\u00e9e et efficace.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Weiterentwicklung des Elektronischen Patientendossiers\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/nrhynMP5f6o?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n","protected":false},"featured_media":0,"menu_order":0,"template":"","audit_category":[79,76],"audit_type":[52],"class_list":["post-40643","audit","type-audit","status-publish","hentry","audit_category-projets-informatiques","audit_category-sante","audit_type-audit-fr"],"acf":{"audit_lang":null,"audit_numbers":[{"audit_number":"24606"}],"audit_office":[7904],"audit_office_text":"","audit_date":"20251022","bgo":false,"keywords":"","audit_office_local":"OFSP"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - 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