[The Medical Information System Program in urology: what should be considered?].
Medical data processing, introduced in France in 1985 has been compulsory for public hospitals since 1989 and has been tested in private institutions since 1991. A trial is currently underway in the Languedoc-Roussillon region to determine whether medical data processing can be used to modulate the global budget for hospitals and to define a new fees scheme for private clinics. The objective of the first part of this paper is to explain the origins of medical data processing and to understand its mechanisms and limitations. The second part situates medical data processing in the more general context of medicalization of information systems and emphasises the importance of an individual discipline approach for urology.
Lukacs
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Service d'Urologie, Hôpital Tenon, Paris.
Naidicht
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D002017:Budgets; D003628:Database Management Systems; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics / Q000458:organization & administration; D005602:France; D006739:Hospital Administration; D017722:Hospital Charges; D006751:Hospital Information Systems / Q000191:economics / Q000458:organization & administration; D006753:Hospital Records; D016304:Hospitals, Private; D006779:Hospitals, Public; D006801:Humans; D014573:Urology Department, Hospital / Q000191:economics / Q000458:organization & administration
Le PMSI en urologie: que faut-il en penser?