Question

Sharing of information in the network and professional secrecy: is a joint tool for the whole network helpful for the user?

Problem description

it is undeniable that, if we look at it from the perspective of efficiency, a joint tool would be interesting, but given the different obstacles encountered regarding an effective implementation of consultation tools, it appears that different partners still require an increased mutual knowledge in order to work in confidence and with common tags.  At the same time, sharing of information and the issue of confidentiality are subject to regular reflection, but it is not easy to find a good balance between sharing information and respect for the will and freedom of life choices of the user. In this sense, an introduction of the tools used abroad does not seem appropriate to us

Impact - effect

For the time being we can’ t avoid duplications of work, regular repetitions for the user who meets  many professionals and has to go through repeated anamnesis in several services, etc. Simultaneously we have the permanent concern that a joint tool is not really helpful for the user if such and instrument leads to a constraint for the user to follow the "prescribed care path", when the net is too closed to pass through

To do

To do: continue to develop a "light version" consultation tool, based on the commitments of each partner rather than a patient record containing all the patient's information. As a minimum, a joint tool would be interesting, but the interest of the user must prevail, we must respect his will and freedom of life choices.  The 2a team in Birmingham is working with an electronic record which is accessible for the network (hospital, other community services, treating doctor, acute units, etc.).  This record is very accurate and contains all the information about the patient, the steps taken, the visits made, etc.  We’ve met an urge in the network to work in continuity and permanent consultation. However, this approach doesn’t allow the user, in complete freedom, to switch or change the network, to get “of the grid”, to have different conversations with the professionals met, to take side roads.  The interest is to see an overall action for the user, regardless of the service involved, without going against the grain of what either service "prescribed".  And to reflect about the point of view of the user on his record, the right to request a copy, the right to oppose to the accessibility of the record by the whole network

Theme

Acute care pathway

Topic

Exchange of information in the acute care pathway

Référence – contact

Valérie Bauwens

Mobile team

2a

Project

Région du Centre

Intership abroad - place

Birmingham (Oleaster Home Treatment)

Date

February 2015