Finding the right balance: this is the challenge for legislators in regulating healthcare technology. Medical data and emerging technologies are both promising and sensitive. Promising in that their massive and rapid use will improve the quality of care and lower the costs of our health systems. Sensitive because of the innate ethical questions they raise (e.g., the possible patient re-identification).
Regulations and policy should be guided by ambition as well as caution. Rather than propose a series of technical tactics, we have organized our recommendations around four strategic pillars. For each pillar, we present several concrete initiatives that we feel are key in helping guide
the decision-making of healthcare stakeholders.
Put patients at the center of their own medical data
Raise awareness among citizens in the understanding and control of their health data
Before any usage of patient data, reinforce the principles of individual information and consent
Build a data exchange platforms around the Dossier Médical Partagé (Shared Medical Records)
Develop “third-party-trust” mediation in the use of data
Promote a technology and data-driven culture among healthcare professionals
Create a system of incentives encouraging the adoption of digital health technologies
Develop practical training of health professionals around digital technology
Promote information sharing among all healthcare professionals
Anticipate the disruption induced by the upcoming 5G technology
Rethink regulations around healthcare technologies approval
Accelerate the development of the “Small Business Act”
Strengthen the principle of “sandboxes”
Certify coders rather than the code itself, (e.g., Pre-Cert)
Clarify man vs. machine legal responsibilities in health decisions
Continue to consolidate our national medical data infrastructure and unlock its full potential
Promote the territorial organization of health data
Continue the digitization of all prescriptions
Simplify governance and access to the main national databases while respecting confidentiality
ABout the AUthors
President of Club Praxis
Yann graduated from the National School of Computer Science and Applied Mathematics of Grenoble (ENSIMAG) and received the Master of Finance of HEC. He is director of research for a financial institution, president of the French House of New York, President of the American Foundation of the Paris School of Economics, Foreign Trade Advisor and Director of the European American Chamberof Commerce.
Julien Dubuis graduated from the Ecole Normale Supérieure and received his Ph.D. in Physics from Princeton University. He is the author of several articles on information theory in biological systems. He has worked as a strategy consultant in healthcare and technology and most recently as Director in several digital health start-ups in New York.
Julien Delpech is the founder and CEO of invivox.com, a digital platform for medical training between practitioners. He worked for more than 15 years in the pharmaceutical industry (Russia, Latin America, UK) as well as in clinical research (stem cells). An alumnus of Essec, he now lives in Paris.
Pierre-Antoine Gourraud is a graduate of ENS Lyon and a faculty and hospital practitioner of the University of Nantes School of Medicine. He was a postdoctoral fellow, and later professor of Neurology at the University of California at San Francisco. In 2008, he created Methodomics, a company that develops algorithms in biology.
Emilie Rannou is a former student of ENSAE. Currently product manager at Criteo, she helps to build a strategic vision for the development, optimization and use of machine learning (artificial intelligence) algorithms. Emilie has returned to Paris after five years between London and New York.
About club praxis
An international perspective on debates in France
Club Praxis is a French think tank based in New York that brings together expatriate business and public policy experts whose experience abroad helps them shed light on public debate in France. Founded in 2007 by several French leaders, including Henri de Castries, Club Praxis has embraced its role as an outsider in French discourse. Its mission is to promote new and innovative ideas that will reinvigorate both democratic institutions and economies.
Pragmatic and non-partisan positions
Independent from any school of thought, Club Praxis advocates a renewed dialogue between citizens and policy makers, specifically by making public data and the political process more transparent. Through well-defined and realistic policy proposals, Club Praxis hopes to reprioritize long-term public interests and outline a new path for France as a country more open to the world.
A group independent from public and private grants
Club Praxis operates on a totally voluntary basis and it receives no public or private grants. It relies mainly on researchers, economists, government officials, executives and lawyers who want to use their skills and international experience in the service of their country.