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Can technology and data
revolutionize our public health systems?

a report BY CLUB praxis



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.

The report


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

Yann Coatanlem

President of Club Praxis

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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


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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

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Julien Delpech is the founder and CEO of, 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.

Simon Gaillard

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Simon Gaillard is a consultant in cybersecurity and data protection for a private company. An alumnus of Sciences Po Paris, he spent several years working at the research department of the World Bank.

Pierre-Antoine Gourraud

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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

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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

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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.

Articles US


A life sciences and health care perspective: Tech Trends 2018


Medical Education Invivox

"Il manquait un outil pour la formation des medecins"

Julien Delpech 

Yann Coatenlem

Balance commerciale et vieilles recettes


Medical Education Invivox

Aurélie Jean

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