This specialty of recent origin is based on the analysis of computer data relating to patients and care units in order to obtain quantified information on the activity of a care establishment and better understand its functioning.
This specialty of recent origin is based on the analysis of computer data relating to patients and care units in order to obtain quantified information on the activity of a care establishment and better understand its functioning. In a hospital, the Department of Medical Information (DIM) takes care of the patient’s medical file and pricing according to activity (T2A). He is officially responsible for the Medical Information Systems Program (PMSI), which aims to reduce the inequalities of resources between health establishments and to manage the health budget as well as possible while providing the best care to all patients.
The issue of medical information is at the heart of the major changes in recent years in the doctor – patient relationship. It is now accepted that the patient must be the ultimate decision-maker in the choices that concern his own health, the doctor being responsible for doing everything possible to enable him to make these choices in an informed manner.
The question of information on risks is the most complex because caregivers are often torn between the desires to inform honestly, that is to say by indicating all the risks, and the desire to “protect” the patient. Patient of inevitable anxiety in view of the potential risks of each therapy.
This is the reason why the legislator spoke of the risks “frequent or serious normally foreseeable”. We can understand this wording as the obligation for the doctor to inform of all the frequent risks, whatever their seriousness, and of all the serious risks, even infrequent, since however their occurrence is foreseeable, it is that is to say that it is about a known risk, and which is not completely hypothetical.
According to a survey, the typical profile of the health internet user is a young or middle-aged woman, living as a couple, with a high level of education, a job, a great deal of experience. Internet and confronted personally or in his close entourage with a health problem. Another study (Koch-Weser, 2010) points out that Internet users for health information research are younger, better educated, have higher income and consider it more important to search for health information online than those who use the Internet. Which favor the search for information offline. However, there is no difference according to gender, state of health and the need for confidentiality between these two types of people. Ethno cultural origin also influences Internet traffic.
However, the Internet does not eclipse other sources of information and retains, for many, a complementary status. A study by the Canadian Council on Learning (2008) reports that young Canadians aged 18-24 primarily consult family and friends in a proportion of 33% and the family doctor for 22% of them. Another study (Fortier, 2008) reveals that among young people who have experienced a sexual situation, the Internet was the second most consulted source of information. They visited websites to find out about the possible consequences on their health and to reassure themselves while waiting for the visit to the doctor. This is the situation in some countries, such as Korea, where individuals, although highly connected, continue to give traditional human networks a prominent place in all spheres of life, including health (Choi, 2005). These networks, mainly woven by school, region of residence and family, significantly influence behavior. While the Internet is explored to obtain health information, face-to-face networks remain privileged for sharing and discussing the information collected.
The Internet would also offer multiple advantages for the user, including interactivity, anonymity to which can be added the adaptation of information to needs and the possibility of its tailor-made selection (Takahashi et al., 2011). The low cost for viral social marketing, namely the posting by Internet users or organizations, of promotional messages on digital networks, characterized by the speed of transmission of information, interactivity and exposure to a large community is also among the motivating factors for use (Vance & Howe, 2009). These networks are also frequently used by organizations working in public health. The advantage of a correlation between the exchange of health information and moral support (via discussion forums, among others) in the case of chronic and serious diseases such as AIDS or breast cancer has also been noted (Weaver and Mays, 2009). Internet users thus find social networks within which they can share practical information and testimonials.