Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to informationReportar como inadecuado

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BMC Health Services Research

, 17:297

Organization, structure and delivery of healthcare


BackgroundImprovement of coordination of all health and social care actors in the patient pathways is an important issue in many countries. Health Information HI technology has been considered as a potentially effective answer to this issue. The French Health Ministry first funded the development of five TSN -Territoire de Soins Numérique-Digital health territories projects, aiming at improving healthcare coordination and access to information for healthcare providers, patients and the population, and at improving healthcare professionals work organization. The French Health Ministry then launched a call for grant to fund one research project consisting in evaluating the TSN projects implementation and impact and in developing a model for HI technology evaluation.

MethodsEvaTSN is mainly based on a controlled before-after study design. Data collection covers three periods: before TSN program implementation, during early TSN program implementation and at late TSN program implementation, in the five TSN projects’ territories and in five comparison territories. Three populations will be considered: -TSN-targeted people- healthcare system users and people having characteristics targeted by the TSN projects -TSN patient users- people included in TSN experimentations or using particular services and -TSN professional users- healthcare professionals involved in TSN projects. Several samples will be made in each population depending on the objective, axis and stage of the study.

Four types of data sources are considered: 1 extractions from the French National Heath Insurance Database SNIIRAM and the French Autonomy Personalized Allowance database, 2 Ad hoc surveys collecting information on knowledge of TSN projects, TSN program use, ease of use, satisfaction and understanding, TSN pathway experience and appropriateness of hospital admissions, 3 qualitative analyses using semi-directive interviews and focus groups and document analyses and 4 extractions of TSN implementation indicators from TSN program database.

DiscussionEvaTSN is a challenging French national project for the production of evidenced-based information on HI technologies impact and on the context and conditions of their effectiveness and efficiency. We will be able to support health care management in order to implement HI technologies. We will also be able to produce an evaluation toolkit for HI technology evaluation.

Trial ID: NCT02837406, 08-18-2016.

KeywordsHealth information technology Program evaluation Patient care management AbbreviationsAEPAppropriateness evaluation protocol

APAAllocation personnalisée d’autonomie

CCTIRSComité Consultatif sur le Traitement de l’Information en matière de Recherche dans le domaine de la Santé

CNILCommission Nationale Informatique et Libertés

EvaTSNEvaluation Territoire de Soins Numérique

GPsGeneral practitioners

HI technologyHealth information technology

IDSInstitut des Données de Santé

IMIAInternational Medical Informatics Association

ITTIntention to treat

LAELocal average estimate

PMSIProgramme de Médicalisation du Système d’Information

SNIIRAMFrench National Health Insurance Database

TSNTerritoires de Soins Numérique

WHOWorld Health Organization

Autor: Florence Saillour-Glénisson - Sylvie Duhamel - Emmanuelle Fourneyron - Laetitia Huiart - Jean Philippe Joseph - Emmanuel L


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