Table of Contents

Country’s healthcare system in a nutshell

France runs a statutory health insurance (SHI) system providing universal coverage for its residents. The system is financed through employee and employer contributions, and increasingly by earmarked taxes on a broad range of revenues. The main schemes that provide SHI are one specific to the agricultural sector and another more general scheme, with the same coverage and benefit policies. Funds are pooled at the national level with the possibility of subsidies between schemes. Voluntary, complementary private health insurance (VHI) also plays a large role. Almost 95% of the population has VHI

Public vs private

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The national PHR

History

Mon Espace Santé, a digital platform established by the French government, represented a milestone in the digitization of healthcare services. Launched on January 1, 2022, for all individuals under the umbrella of Health Insurance, with provisions for opt-outs, the platform has witnessed substantial growth.

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The consortium led by Atos comprises three notable French entities: Maincare Solutions, expert in Identity Management and health directories; Gravitee, an API platform specialist, which contributes to the integration of diverse systems and functionalities.; Beezim which focused on the platform’s communication features.

Features

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Patients can view their health data in the record, and can also add their own data to any part of it. The first part of the record is ‘Mon histoire de santé’ (my health history) and shows every interaction the patient had with the healthcare system, including going to the pharmacy, to the GP, etc.

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A carer feature is currently being developed.

Challenges and areas for improvement

The platform lacks a feature to view or manage appointments

The platform is still not widely used (see data below), as the statistics in the next section show.

Published outcomes - statistics

As of the latest report by the National Health Insurance Fund (CNAM), 65.7 million policyholders have embraced this digital frontier, signifying its widespread adoption among the French populace. However, it is noteworthy that only 7.9 million users, equivalent to 11.5%, have actively engaged with the platform.

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