The aging of the population imposes improving the health monitoring of dependent people at home. In this context, medical, social and administrative information must be exchanged between the involved actors (doctors, nursing assistants, carers, etc.). This coordination naturally require an access to this data at the bedside or while he is at a medical consultation.
Regarding health or social data, each stakeholder should have differentiated access rights to the data. The patient must also be able to hide some particularly sensitive data with the help of her doctor.
The centralization of medical and social folders on a server responds poorly to this problem:
- need an internet connection at the bedside, resulting in either a fixed subscription for the patient (and the responsibility to maintain the connection operational) or a 3/4G subscription for professionals (high recurring cost, poor throughput leading to an ineffective solution in poorly covered areas)
- distrust of patients and professionals to centralize all their medical, social, administrative and organizational data, accompanied by a feeling of total loss of control over the data and their exploitation
- high hosting cost given the cost of security, proportional with the risk arising from the accumulation on a single server of data from multiple sources and huge number of users. Indeed, crossing that data can lead to highly sensitive information (e.g., end of life diagnostic and patient heritage).
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