The Digital Revolution in Health: Innovating and Acting for Sustaining Transformations in the Health System

Foreword
Dominique PON, Stéphane OUSTRIC, Jérôme BÉRANGER Acknowledgements.
Introduction
Jérôme BÉRANGER and Roland RIZOULIÈRES
Part 1. The Health System and Digital Technology: Challenges, Issues, and Transformations
Introduction to Part 1.
Roland RIZOULIÈRES
Chapter 1. Digital Integration and Healthcare Pathways in the Territories
Roland RIZOULIÈRES
1.1. Introduction
1.2. What lessons can be learned from integrated American and Swiss models?
1.2.1. The cradle: the United States
1.2.2. The Swiss model of the Delta network
1.3. Digital technology as a challenge for territorial integration in the context of healthcare in France
1.3.1. Healthcare territories: starting from the patient-user rather than from the offer of health and medico-social actors?
1.3.2. An exemplary structuring of the territory? The TSN program and the E-Parcours
1.3.3. What lessons can be learned?
1.3.4. PTAs and CPTS: the Alpha and Omega of healthcare territory structuring?
1.3.5. Launch of SNAC in regions
1.4. Digital integration and aging in France: from health pathway to life pathway
1.5. Conclusion
1.6. References
Chapter 2. Digital Technology in a Cancer Patient’s Primary-Secondary Care Journey
Marie-Ève ROUGÉ-BUGAT
2.1. Introduction
2.2. Organization of cancer care
2.2.1. Cancer plans
2.2.2. Primary care actors
2.3. Regional health organization for patient management
2.3.1. Healthcare supply
2.3.2. Transmission of information
2.4. Theoretical pathway of a cancer patient
2.5. Cancer announcement.
2.6. Management of treatment-related adverse events
2.7. Patient follow-up
2.7.1. After cancer
2.7.2. Alternating monitoring
2.8. Ethics to support the primary to secondary care journey
2.8.1. Deontology
2.8.2. Ethical questioning
2.8.3. Impacts and consequences of digital technology on the healthcare pathway
2.9. Conclusion
2.10. References
Chapter 3. A Smart Health Record for Better Coordination: A Sociological Analysis of the Organizational Dynamics of the
Calipso Project
Valentin BERTHOU
3.1. Solving health problems through better coordination
3.1.1. A context conducive to home automation technologies in healthcare
3.1.2. A digital liaison notebook to facilitate the transmission of information
3.2. Historicity of the Calipso project
3.2.1. A bundle of information for thinking about the digital liaison notebook
3.2.2. Territorial anchoring of the project in an already established network of actors
3.3. Collaboration as an object of study and theoretical framework
3.3.1. A multidisciplinary team to carry out a project “in Living Lab mode”
3.3.2. What theoretical framework for dealing with complex situations? Knotworking, the core of reflection on the activity
3.4. Identifying specific coordination problems to propose a general technological solution
3.4.1. Building on problems identified in the field
3.4.2. A design for experimentation, functionalities for the needs of professionals
3.4.3. Through the projection of professional standards in the tool, misunderstanding of coordination and collaboration
3.4.4. Technology, neutral ground for cooperation?
3.5. Methodological course of the tailor-made experimental device
3.6. (Preliminary) results and conclusions
3.7. References
Part 2. Digital Technology and Transformations in the Relationships between Professionals and Patients
Introduction to Part 2.
Roland RIZOULIÈRESviii The Digital Revolution in Health
Chapter 4. Use of AI Systems in the Care Relationship, Redefining Patient and Physician Roles
Anthéa SÉRAFIN
4.1. Progressive affirmation of individualized healthcare in the service of patient autonomy
4.1.1. Reinforcing the patient’s responsibility in the healthcare relationship
4.1.2. Increasingly personalized medicine
4.2. Integration of digital and ethical concepts in the training health personnel and in the education of citizens
4.2.1. Global challenge of developing citizens’ digital skills
4.2.2. Issues specific to the training of healthcare professionals
4.3. References
Chapter 5. Artificial Intelligence Ethics in Medicine Loïc ÉTIENNE
5.1. Artificial intelligence in question
5.2. The doctor-patient relationship
5.3. Digital medicine ecosystem
5.4. Medicine 4.0
5.5. Question of ethics
5.6. What lessons can be learned?
5.7. Real benefits of artificial intelligence
5.8. References
Chapter 6. Digital and Public Health in West Africa.
Alpha Ahmadou DIALLO
6.1. Introduction
6.2. Context and questions
6.3. Theoretical framework of analysis and associated concepts
6.4. Practical illustrations
6.5. Challenges and capitalization of experiences and potential for transformation
6.6. Conclusion and lessons learned
6.7. References
Part 3. Supporting Digital Healthcare
Introduction to Part 3.
Jérôme BÉRANGER
Chapter 7. Designing and Innovating in Digital Healthcare:
Co-design for Taking Patients’ Needs into Account
Corinne GRENIER, Rym IBRAHIM and Susana PAIXÃO-BARRADAS
7.1. Introduction
7.1.1. New approaches to healthcare innovation
7.2. Methodological approach of co-design in healthcare
7.2.1. Co-design in healthcare
7.2.2. A grid for analyzing the processes of co-design in healthcare
7.3. Illustrations
7.3.1. Service design workshops to envision collective and smart housing for the elderly
7.3.2. Designing digital tools to improve the performance of athletes by taking their emotions into account
7.4. Conclusion
7.5. References
Chapter 8. Ethical Governance and Responsibility in Digital
Medicine: The Case of Artificial Intelligence
Jérôme BÉRANGER
8.1. Introduction
8.2. Artificial intelligence applied to the world of healthcare
8.3. Problems and ethical risks specific to digital technology
8.4. Ethical and moral questions related to AI
8.5. Framework based on general ethical principles associated with AI
8.6. Algorithmic responsibility
8.7. Conclusion
8.8. References
Chapter 9. Legal Focus on the Notions of Telemedicine and E-Health.
Lina WILLIATTE
9.1. Introduction
9.2. Telehealth: a different adoption depending on the country
9.2.1. A word with different meanings in different countries
9.2.2. E-health: a service provision
9.3. Standard applicable to data
9.3.1. General framework
9.3.2. Rights of the data subject: founding principles of personal data processing
9.3.3. The accountability principle
9.4. Conclusion
9.5. References
List of Authors
Index