Carrier of aversion to the risk of our modern societies it seeks a safer medicine

The exponential growth of scientific knowledge and the use of new technologies in the medical Act, the demand for increased security and participation in their own medical destiny on the part of patients require review substantive fundamentally the organisation of our health systems and to emerge of new trades in the world of health. These issues, discussed in the Convention on Health Analysis and Management (CHAM 2010) last September, have reappeared a few weeks ago when the France adopted by Decree the medical consultation via the Internet. Today, it is therefore urgent to offer initial training to all health care practitioners and continues to optimize their intervention in this new world by integrating the principles of a true collaborative medicine.

Nanotechnology, biotechnology, genomics, medical imaging become common tools in medicine and accompany, or even catch the clinical examination, with as main issue securing the diagnostic and therapeutic preventive or curative. Forgot the quasi-dévotion surrounding family doctor: high levels of growing life and information drawn from on the Internet, the sick, better informed and educated, consumes more and more care as a service while aspiring to participate in his own medical destiny. Carrier of aversion to the risk of our modern societies, it seeks a safer medicine. In the last delivery of the barometer that Europ Assistance publishes each year on the perceptions of health systems by those who benefit from, 70 of Americans and Swedes and 84 of the British perceive medical errors as one of the main threats for the future. Our societies therefore naturally engage in the way of e-health, synonymous with a complete renewal of the patient-physician report. To be convinced, there is to see "domestication" growing of medicine through new technologies, the hotline, or Robotics for many medical procedures for patients with chronic diseases as for dependent older people.

The sharing of knowledge, combined with a collective responsibility in decision-making, is necessary as the keys to improving the quality in medicine. The use of simulators to repeat the most dangerous situations, including in emergency situations, scenarios medical variety offered by the "serious games" education are some of the progress in the training of health professionals who can review together place, repeat the good gestures and refine their diagnostic and therapeutic choices. It is a revolution of training in that it implies to at the outset actors who will have to perform as a team and not individually.

We are inaugurating a collaborative medicine in which means of remote transmission and new professions of health (assistant medical, care coordinator) disrupt practices: it becomes possible to track a patient remotely, to know more precisely its physiological functions and their derivatives. It is possible to upload images of the ultrasound or scanner without loss of information. By domino effect, this transformation of medical practice will lead to a new distribution of roles between the functions of health, with the emergence of new actors and new tools to manage the information of the sick. The processing of custom medical record will meet the "datamining", managed industry in the United States by actors such as