The foundations and objectives of the Ségur du numérique en santé:

Launched in 2021 as part of the post-COVID reforms, the Ségur du numérique en santé aims to modernize and harmonize healthcare information systems (HIS). It is part of a global approach to digitizing and streamlining healthcare pathways.

Why was this program essential?

The French healthcare system was suffering from a fragmentation of digital tools, making it difficult to exchange information between the various players. In the absence of common standards, the software used by hospitals, clinics or doctors' surgeries was not compatible, resulting in wasted time, risks of errors and reduced quality of care.
With Ségur numérique, two major objectives are being pursued:

• Ensure interoperability between systems thanks to common repositories.
• Generalize the use of core digital services such as Mon espace santé, Messagerie Sécurisée de Santé (MSS) and Identité Nationale de Santé (INS).

These services form the backbone of digital healthcare. They unify practices while securing sensitive data. This wave of transformation also aims to boost the confidence of patients and professionals in these new tools. In addition, the program includes substantial funding to accompany establishments in their digital transition and support the implementation of software solutions that comply with national standards.

The Segur pillars of digital healthcare

The program is based on several strategic axes that redefine the framework for digital healthcare:

• Enhanced interoperability: all software must exchange data fluidly and securely.
• Increased healthcare data security: compliance with the RGPD and use of Healthcare Data Hosting (HDS).
• Widespread deployment of core digital services: tools such as Mon espace santé, the Dossier Médical Partagé (DMP) or Pro Santé Connect (PSC) are becoming essential.
• Support for professionals: awareness-raising, training and financial incentives to encourage adoption. With ambitious funding of €2 billion spread over several waves, Ségur numérique santé is profoundly redefining the French e-health ecosystem. The program is steered by the Agence du Numérique en Santé (ANS), which plays a key role in implementing and monitoring the various stages. At the same time, the software solutions referencing process ensures that all tools comply with the standards defined by Ségur to ensure their compatibility with existing systems.
  

A structuring impact for the e-health ecosystem

The deployment of the Ségur digital wave goes beyond a simple technological upgrade. It is profoundly transforming the organization and digital practices in the sector.

1.For professionals and establishments

• A doctor can now quickly consult medical histories via Mon espace santé or the DMP.
• Documents are exchanged via a secure messaging system rather than by fax or post.
• Electronic prescribing reduces errors while making management easier for pharmacists.

2. For medico-social and healthcare establishments, this digital wave translates into better care coordination and precious time savings for staff. The software solutions referenced within the Ségur framework also optimize administrative management, while reinforcing data traceability. Professionals can now easily share essential medical documents while guaranteeing their security
Interoperability requirements simplify access to patient data and improve continuity of care. For example:

3. For patients
Patients become players in their own health, thanks to simplified access to their medical data. With Mon espace santé, they can:

• Consult their test results or medical reports.
• Exchange with their professionals via secure tools.
• Monitor their dematerialized prescriptions.

This transformation promotes more personalized, preventive medicine through enhanced monitoring. It also helps to reduce inequalities in access to digital healthcare, particularly in rural and under-serviced areas. In addition, easier access to medical documents enables patients to better understand their care pathway and interact more effectively with their professionals.

Unique opportunities for e-health innovators

The Ségur vague numérique also represents a unique opportunity for companies developing innovative solutions in the field. National standards facilitate the integration of new software solutions into a standardized, secure ecosystem.

A framework conducive to innovation

Startups specializing in medical biology, telemedicine or connected devices benefit from a clear framework in which to develop their products. By meeting the technical requirements defined by Ségur, they can obtain official referencing that opens the doors to a structured market.

Growing demand

Hospitals, private practices or medical-social establishments are actively seeking high-performance software adapted to new digital uses. The growing need for Segur-compliant solutions is stimulating innovation while fostering the emergence of a diversified offering.

Challenges to be met for optimal adoption

Despite these promising advances, several challenges remain:

1. Accompanying professionals
While evolution is beneficial, it implies changes in habits that are sometimes restrictive for professionals. Support is based on targeted actions: adapted training, optimized ergonomics of digital tools and constant technical support.

2. National harmonization
Although technical guidelines exist, their effective implementation varies from region to region. Strong coordination between regional agencies (ARS), local establishments and industry is needed to guarantee real interoperability.

3. Enhanced cybersecurity
With the multiplication of digital exchanges, effectively protecting sensitive data is becoming paramount. Publishers must integrate robust features against cyber-attacks right from the design stage, while strictly complying with the regulatory framework.

A forward-looking vision

The Segur digital wave is not limited to technical modernization:it also lays the foundations for a new governance of the digitalized healthcare system. By promoting equitable access to digital tools, it contributes to reducing the technological divide between territories, while placing the patient at the center of the system.
This transformation is also accompanied by a increase in the skills of the players involved: doctors, nurses, administrators and software developers. All are actively involved in building a more fluid, secure and innovative ecosystem. The funding awarded in this context will not only support this transition, but also encourage rapid adoption by all the players involved.