["The Dialybre card". The minimum portable dialysis medical record. Results of the development phase]

Dialybre is the research study on portable minimum medical records related to patients treated by hemodialysis. It uses the chip card, a new technology which makes relationships between health practitioners and patients easier. Since 1992, it is broadcasted in 15 hemodialysis centers. Evaluation of the development phase shows that despite its advantages, the chip card is not much used for the following reasons: usage not yet fully understood, lack of coherence in the computerized hospital information system, not enough card readers which are very costly, and a cultural lack of trust in any new technology. There is, more over, extra work involved for entering data in "Logidial" (computerized medical records) from where "Dialybre" is automatically updated.