Avantages, effets et préoccupations reliés au dossier de santé personnel électronique (DSPé) : Une mise à jour de la littérature

Electronic personal health records (ePHR) allow patients to manage their health and to communicate with the health care team. These tools could have an impact on the effectiveness and efficiency of care, giving rise to more interest in their implementation and use. However, the scientific evidence on their benefits and potential effects remain insufficient. In this paper, we Articles longs des 15es Journées francophones d’informatique médicale, JFIM 2014, pages 94–114 Fès, Maroc, 12–13 juin 2014 present the results of the scientific literature review update to bring out evidence concerning some interesting aspects to guide ePHR implementation in Canada. We have conducted searches in seven electronic databases and identified 1070 studies, of which 52 were included in the final analysis. Empirical studies accessed showed that evidence about several issues and concerns around ePHRs implementation remains divergent. However, it was noted that the scientific evidence is stronger for some useful aspects of implementation, suggesting benefits for patients, professionals, organizations and the health care system (preventive care delivery, patient-providers communication improvement, and patient-centered care support). In particular, ePHR show benefits for disease management and health status monitoring by specific groups (e.g. chronic diseases). However, some studies raise the importance of these systems impact on the care process and the clinical practice, related especially to the flow of information for the improvement of clinical outcomes. Mots-clés : Dossier de santé personnel électronique, revue de la littérature, effets, avantages, impacts, adoption, utilisation, implantation, politiques publiques, Canada.