title: [EHealth, health networks and electronic health record: towards a culture of sharing and trust].
abstract: In Belgium, the computerization of the ambulatory care sector and general practice in particular has been continuously progressing over the last ten years. Although regional differences exist, 75% of the Belgian general practitioners own today a software to assist them in the management of their patients. To date however, general practitioners have been hardly using their electronic system to share or communicate with other actors of the system. The silo culture remains the norm. Aside from certain group practices, computerization has thus not yet contributed to improve in a significant way the quality of care of the patient. The implementation in 2012 of the "shared electronic health record" thanks to the deployment in production of the 5 health networks connected via the federal directory of references is due to deeply change this situation. Communication flows between health care professionals will thus rapidly intensify and the amount of information available at the point of care will increase significantly. This is however only the first step. The future electronic patient record (EPR) will need to make room for a deep integration of the actors around the patient thanks--among other things--to the implementation of a global semantic interoperability strategy. This integration of actors together with the empowerment of the patient are indeed essential preliminary conditions in order to adapt our health system to the enormous challenges that we will all have to face in the next 10 years.
authors.affiliation: SPF Santé publique, Sécurité de la chaîne alimentaire et Environnement, Unité de Politique télématique. Bruxelles. luc.nicolas@sante.belgique.be
authors.forename: L
authors.initials: L
authors.lastname: Nicolas
mesh_terms: D019058:Community Networks / Q000458:organization & administration* / Q000639:trends; D003468:Cultural Evolution; D057286:Electronic Health Records / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D017216:Telemedicine / Q000458:organization & administration* / Q000639:trends; D035502:Trust