{"id":5052,"date":"2025-03-28T19:30:01","date_gmt":"2025-03-28T19:30:01","guid":{"rendered":"https:\/\/ciehaufr1i.wpdns.site\/nouvelles\/ladc-couronnee-de-succes-au-quebec-des-gains-en-temps-et-en-argent-grace-aux-systemes-dorientation-electroniques\/"},"modified":"2025-10-02T13:32:54","modified_gmt":"2025-10-02T13:32:54","slug":"ladc-couronnee-de-succes-au-quebec-des-gains-en-temps-et-en-argent-grace-aux-systemes-dorientation-electroniques","status":"publish","type":"post","link":"https:\/\/car.ca\/fr\/nouvelles\/ladc-couronnee-de-succes-au-quebec-des-gains-en-temps-et-en-argent-grace-aux-systemes-dorientation-electroniques\/","title":{"rendered":"L\u2019ADC couronn\u00e9e de succ\u00e8s au Qu\u00e9bec : des gains en temps et en argent gr\u00e2ce aux syst\u00e8mes d\u2019orientation \u00e9lectroniques"},"content":{"rendered":"\n

Le syst\u00e8me de sant\u00e9 qu\u00e9b\u00e9cois jouit des retomb\u00e9es positives de la mise en place d’un syst\u00e8me d’aide \u00e0 la d\u00e9cision clinique (ADC) \u00e9lectronique.<\/p>\n\n\n\n

Sant\u00e9 Qu\u00e9bec a introduit les dossiers de sant\u00e9 num\u00e9riques en 2024 dans plusieurs r\u00e9gions de la province.<\/p>\n\n\n\n

\"cds<\/figure>\n\n\n\n

\u00ab Le syst\u00e8me d’ADC MedCurrent a \u00e9t\u00e9 int\u00e9gr\u00e9 au syst\u00e8me informatis\u00e9 d’entr\u00e9e d’ordonnances (SIEO) existant. Il a \u00e9t\u00e9 d\u00e9ploy\u00e9 dans les Laurentides en avril 2024, en Outaouais en novembre 2024 et en Abitibi-T\u00e9miscamingue en f\u00e9vrier 2025 \u00bb, explique Nathalie Bazylewicz<\/strong>, gestionnaire de projet pour Sant\u00e9 Qu\u00e9bec. \u00ab Au total, l’on a int\u00e9gr\u00e9 149 indications cliniques et 1874 sc\u00e9narios inspir\u00e9s des lignes directrices relatives aux demandes d’examen en imagerie diagnostique de la CAR, des recommandations de l’Institut national d’excellence en sant\u00e9 et services sociaux (INESSS), ainsi que d’entr\u00e9es personnalis\u00e9es. \u00bb<\/p>\n\n\n\n

Elle explique que la complexit\u00e9 de l’\u00e9cosyst\u00e8me TI-fournisseur-plateforme, l’allocation des ressources, la d\u00e9finition interne des priorit\u00e9s parmi les projets concurrents \u00e0 Sant\u00e9 Qu\u00e9bec, le financement et le fait de convaincre les m\u00e9decins d’adh\u00e9rer au nouveau syst\u00e8me ont entre autres compliqu\u00e9 la mise en \u0153uvre.<\/p>\n\n\n\n

\u00ab Le Qu\u00e9bec est une province francophone; nous avons donc d\u00fb surmonter des obstacles suppl\u00e9mentaires afin de nous assurer que le syst\u00e8me d’ADC int\u00e9grait les lignes directrices canadiennes et qu\u00e9b\u00e9coises en mati\u00e8re de pratique clinique. La CAR et l’INESSS ont r\u00e9pondu \u00e0 notre demande d’aide de fa\u00e7on rapide et efficace. \u00bb<\/p>\n\n\n\n

Depuis le d\u00e9but du projet, plus de 49\u2009000 orientations ont \u00e9t\u00e9 analys\u00e9es par le syst\u00e8me d’ADC mis \u00e0 jour.<\/p>\n\n\n\n

\u00ab Depuis le lancement dans la premi\u00e8re r\u00e9gion, des recommandations suppl\u00e9mentaires ont \u00e9t\u00e9 partag\u00e9es par la CAR et l’INESSS, et la couverture du contenu clinique est pass\u00e9e de 90 % \u00e0 95 % \u00bb, souligne Mme Bazylewicz. \u00ab Six pour cent des demandes d’examen ont \u00e9t\u00e9 annul\u00e9es, car elles ont \u00e9t\u00e9 jug\u00e9es \u00ab\u00a0non n\u00e9cessaires\u00a0\u00bb sur la base des recommandations de l’ADC. Pour un centre moyen traitant 40\u2009000 demandes par an, \u00e7a repr\u00e9sente une \u00e9conomie potentielle de 750\u2009000 $ \u00bb.<\/p>\n\n\n\n

L’adoption d’un syst\u00e8me d’ADC normalis\u00e9 \u00e0 travers le Canada est une priorit\u00e9 que la CAR a fait valoir aupr\u00e8s des responsables gouvernementaux et des dirigeants provinciaux du secteur de la sant\u00e9. En novembre 2024, la CAR a organis\u00e9 la Conference on Digitizing Healthcare Referrals<\/em>, une conf\u00e9rence sur le passage aux orientations \u00e9lectroniques \u00e0 Toronto, \u00e0 laquelle ont particip\u00e9 des conf\u00e9renciers experts, des directeurs de services de radiologie et de cliniques, des gestionnaires d’entreprise, des responsables des ressources humaines en sant\u00e9, des agents politiques et d’autres parties prenantes importantes du domaine de la radiologie. Mme Bazylewicz remarque que le travail de mise en \u0153uvre est souvent men\u00e9 par les organisations de soins de sant\u00e9 r\u00e9gionales.<\/p>\n\n\n\n

\u00ab Les ADC font souvent partie de projets localis\u00e9s, et leur utilisation n’est pas encore obligatoire dans le cadre du d\u00e9ploiement d’un syst\u00e8me de SIEO \u00bb, pr\u00e9cise-t-elle. \u00ab Ils sont plus fr\u00e9quemment utilis\u00e9s en lien avec des modalit\u00e9s d’imagerie m\u00e9dicale avanc\u00e9e (TDM, IRM), et la plupart des essais se d\u00e9roulent au sein d’h\u00f4pitaux universitaires. Ils portent rarement sur l’utilisation par des m\u00e9decins de famille dans le cadre d’une pratique communautaire. Nous pensons que pour que les ADC soient pertinents dans un plus grand nombre de contextes, les directives d’orientation doivent \u00eatre adapt\u00e9es \u00e0 la pratique clinique en r\u00e9gion \u00bb.<\/p>\n\n\n\n

Si le Qu\u00e9bec r\u00e9alise des \u00e9conomies de temps et d’argent, Mme Bazylewicz indique que peu d’autres provinces ont suivi la m\u00eame voie.<\/p>\n\n\n\n

\u00ab Certaines provinces, comme l’Alberta, ont bel et bien travaill\u00e9 \u00e0 la mise en \u0153uvre de l’ADC pour l’imagerie m\u00e9dicale avanc\u00e9e (TDM, IRM), mais l’outil a \u00e9t\u00e9 configur\u00e9 sur la base des lignes directrices provenant des \u00c9tats-Unis. Il serait formidable d’avoir acc\u00e8s \u00e0 leurs r\u00e9sultats et de donner plus de visibilit\u00e9 \u00e0 ce type d’initiatives canadiennes. Nous sommes convaincus que le fait que nous ayons int\u00e9gr\u00e9 les lignes directrices de la CAR dans notre ADC (MedCurrent) a renforc\u00e9 l’adoption de celle-ci par les cliniciens. En effet, elles sont plus en phase avec leur r\u00e9alit\u00e9 clinique. Elles ont donc influenc\u00e9 de fa\u00e7on positive leur utilisation de l’outil. \u00bb<\/p>\n\n\n\n

En savoir plus<\/a> sur les efforts de la CAR pour mettre en \u0153uvre des syst\u00e8mes d’orientation \u00e9lectroniques dans l’ensemble du pays.<\/p>\n","protected":false},"excerpt":{"rendered":"

Le syst\u00e8me de sant\u00e9 qu\u00e9b\u00e9cois jouit des retomb\u00e9es positives de la mise en place d’un syst\u00e8me d’aide \u00e0 la d\u00e9cision clinique (ADC) \u00e9lectronique. Sant\u00e9 Qu\u00e9bec a introduit les dossiers de sant\u00e9 num\u00e9riques en 2024 dans plusieurs r\u00e9gions de la province. \u00ab Le syst\u00e8me d’ADC MedCurrent a \u00e9t\u00e9 int\u00e9gr\u00e9 au syst\u00e8me informatis\u00e9 d’entr\u00e9e d’ordonnances (SIEO) existant. Il 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Jones","author_link":"https:\/\/car.ca\/fr\/author\/tenika\/"},"uagb_comment_info":0,"uagb_excerpt":"Le syst\u00e8me de sant\u00e9 qu\u00e9b\u00e9cois jouit des retomb\u00e9es positives de la mise en place d’un syst\u00e8me d’aide \u00e0 la d\u00e9cision clinique (ADC) \u00e9lectronique. Sant\u00e9 Qu\u00e9bec a introduit les dossiers de sant\u00e9 num\u00e9riques en 2024 dans plusieurs r\u00e9gions de la province. \u00ab Le syst\u00e8me d’ADC MedCurrent a \u00e9t\u00e9 int\u00e9gr\u00e9 au syst\u00e8me informatis\u00e9 d’entr\u00e9e d’ordonnances (SIEO) existant. Il\u2026","_links":{"self":[{"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/posts\/5052","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/comments?post=5052"}],"version-history":[{"count":2,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/posts\/5052\/revisions"}],"predecessor-version":[{"id":15059,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/posts\/5052\/revisions\/15059"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/media\/4908"}],"wp:attachment":[{"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/media?parent=5052"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/categories?post=5052"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/tags?post=5052"},{"taxonomy":"post_topic_taxonomy","embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/post_topic_taxonomy?post=5052"},{"taxonomy":"post_modality_taxonomy","embeddable":true,"href":"https:\/\/car.ca\/fr\/wp-json\/wp\/v2\/post_modality_taxonomy?post=5052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}