Streamlining the healthcare pathway


The healthcare pathway is the organisation of comprehensive and continuous treatment for a patient or service user within the area covered by their health authority.

Our current, hospital-centric care system needs to be streamlined. The ageing of our population and also the sharp increase in the number of patients with chronic conditions means we have to be able to monitor them in the long term, and not only during critical periods that require admission to hospital, as in the past.

For this reason, numerous facilities offering access to primary care services are being developed locally in the form of multi-disciplinary health centres. These entities bring together healthcare professionals with different specialisms who are in private practice in the same area, most often in rural locations (in 80% of cases). They make it possible to ensure healthcare services are available locally to those who need them whilst improving the working environment of the healthcare professionals.

This situation also gives rise to the development of telemedicine solutions. Whether for the elderly or those with chronic conditions, they make it easier to monitor the medical condition of the patient from their own home, workplace or holiday destination, making it possible to benefit from personalised medical expertise regardless of distance. Local healthcare professionals also have the advantage of the expertise of a remote specialist, with whom they are able to discuss or fine-tune a diagnosis. Best use is made of available medical resources, with patients able to remain safely in their own homes, reassured that any deterioration in their state of health is being pre-empted by strengthened links with the medical personnel, thus keeping intensive treatment to a minimum.

Finally, when intervention is unavoidable, the time spent in hospital is greatly reduced by developments in outpatient surgery. With support beforehand and when the patient returns home, outpatient surgery makes it possible to be in hospital for under 12 hours, without the need for an overnight stay, with treatment of an equivalent level of quality and safety as that received during a traditional admission.

Key figures:

  • More than 15 million French people have a chronic illness.
  • Home hospitalisation (HH) activity: 4.1 million days in 2012, covering 153,000 “stays” for 103,000 patients (+5.4% compared to 2011)
  • Telemedicine: 331 projects in 2012
  • Digital Hospital: €400 million forecast by 2017, €9.8 million of which was allocated to the programme in 2013.
  • Digital Healthcare Territories: €80 million set aside for the project under the “Investissements d’avenir” (Future Investments) programme.

Using digital technology to simplify the care pathway

Healthcare pathways bring about a profound paradigm shift in our care systems: they put patients back at the very heart of their treatment. It is no longer up to the patients to adapt to the healthcare system, but it is for the system to be structured so as to fulfil their needs. This is achieved by tailoring treatments, contact between healthcare professionals, facilities and resources to the patients, those around them and their needs etc

This is a huge task, and digital technology is one of the key tools required to achieve it. In fact, digital solutions could prove particularly useful in helping to set up healthcare pathways, by introducing greater flexibility and simplicity into communications between all the key players in the healthcare system.

And so, taking a holistic approach to the care pathway, digital technology could help to tailor it so that it offers:

Orange Healthcare is assisting key players in the healthcare system to participate in this revolution.

Our expertise in hosting and transmitting medical data and our ability to integrate mean that we can make a major contribution to the modernisation of healthcare systems.

Together with the Agences Régionales de Santé (Regional Health Authorities, ARS), hospitals and area hospital consortiums, Orange Healthcare is helping to enhance cooperation in healthcare and to streamline the flow of information, to improve productivity, reactivity and coordination.

Tomorrow: accessing care without going to hospital

Our current, hospital-centric care system needs to be streamlined. The ageing of our population and also the sharp increase in the number of patients with chronic conditions means we have to be able to monitor them in the long term, and not only during critical periods that require admission to hospital, as in the past.

For this reason, numerous facilities offering access to primary care services are being developed locally in the form of multi-disciplinary health centres. These entities bring together healthcare professionals with different specialisms who are in private practice in the same area, most often in rural locations (in 80% of cases). They make it possible to ensure healthcare services are available locally to those who need them whilst improving the working environment of the healthcare professionals.

This situation also gives rise to the development of telemedicine solutions. Whether for the elderly or those with chronic conditions, they make it easier to monitor the medical condition of the patient from their own home, workplace or holiday destination, making it possible to benefit from personalised medical expertise regardless of distance. Local healthcare professionals also have the advantage of the expertise of a remote specialist, with whom they are able to discuss or fine-tune a diagnosis. Best use is made of available medical resources, with patients able to remain safely in their own homes, reassured that any deterioration in their state of health is being pre-empted by strengthened links with the medical personnel, thus keeping intensive treatment to a minimum.

Finally, when intervention is unavoidable, the time spent in hospital is greatly reduced by developments in outpatient surgery. With support beforehand and when the patient returns home, outpatient surgery makes it possible to be in hospital for under 12 hours, without the need for an overnight stay, with treatment of an equivalent level of quality and safety as that received during a traditional admission.

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Care pathway
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Care pathway terms