usages des technologies de l`information et de communication pour

USAGES DES TECHNOLOGIES DE L'INFORMATION ET DE
COMMUNICATION POUR LA COORDINATION DES SOINS EN
CANCÉROLOGIE : ÉTAT DES CONNAISSANCES. QUELLES
RECOMMANDATIONS POUR UNE IMPLANTATION EFFICACE ?
Jonathan Lapointe, Étienne Minvielle, Claude Sicotte
ESKA | « Journal de gestion et d'économie médicales »
2013/5 Vol. 31 | pages 273 à 302
ISSN 2262-5305
ISBN 9782747221221
Article disponible en ligne à l'adresse :
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http://www.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2013-5-page-273.htm
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Pour citer cet article :
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Jonathan Lapointe et al., « Usages des technologies de l'information et de communication pour la
coordination des soins en cancérologie : État des connaissances. Quelles recommandations pour
une implantation efficace ? », Journal de gestion et d'économie médicales 2013/5 (Vol. 31),
p. 273-302.
DOI 10.3917/jgem.135.0273
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2013 – VOL. 31 – N° 5
Article original /Original Article Journal de Gestion et d’Économie Médicales
2013, Vol. 31, n° 5, 273-302
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273-302 Lapointe_Lapointe 17/12/13 11:03 Page273
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Cancer care management is a major public health problem and is responsible for a large part
of healthcare spending in developed countries. Therefore, public powers are looking for solu-
tions and mechanisms to reduce its socio-economical impact. It is in this context that the Insti-
tut Gustave Roussy (IGR) proposes the use of electronic tablets as a tool capable of enhancing
care coordination. This intevention seek to put the patient at the center of the care process by
the use of mobile information technology to ameliorate care by stimulating a direct engagement
from the patient and act as a foundation for efficient coordination and communication between
the patient, his relatives and the care team. This article aims, in preparation for the project, to
identify which usage of mobile health technology could be used to enhance care coordination
in a chronic care context. This research is inspired on the realist synthesis model and wishe’s
to provide a broad coverage of technological interventions using mobile or non-mobile health
IT interventions in a chronic care context. This method was chosen due to the few studies related
directly to the use of IT in cancer care. The results show the scarcity of large scale interven-
tions, the lack of evidence of an effective added-value and show the impact of the organizational
context on both the deployment and adoption of these technologies. We recommend that exper-
imentations be conducted on a larger scale on a multi-disciplinal level taking into account clin-
ical, organisational and political challenges as well as work at a larger scale to enhance the
validity of the results. Realist expectations should be maintained on the benefits of mobile infor-
mation technology in healthcare while prefering robust and reliable results.
 21),- Information technology, Cancerology, Coordinated pathways, Case study, Littera-
ture review, Care coordination, Organisational issues, IT usage.
Conflits d’intérêts : aucun
273-302 Lapointe_Lapointe 17/12/13 11:03 Page274
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