Update on the DMP, the French Nationally Shared Medical Record: Did We Make It?

Different countries have solved the problem of care coordination by implementing a nationwide centralized framework of clinical information sharing with "new" secure online care records stored in specifically created platforms. The French DMP initially launched in 2006, relaunched in 2010, and re-relaunched in 2016 follows this model. After a difficult start and some governmental actions to promote its adoption, the DMP has been nationally deployed in November 2018. New features have been developed (creation of DMPs for children, management of minors' rights, addition of living wills, notification of the first access of any healthcare professional), and financial incentive measures have been implemented. In September 2019, over seven million people had a DMP in France. In 18 months, we observed a significant increase of GPs feeding (from 0.7% to 20.9%) and consulting (from 1.6% to 44.8%) DMPs.