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Summary Connecting every healthcare professional in Geneva with a patient-controlled health information network will improve the quality and the efficiency of the healthcare system. This is the ambitious goal of the e-toile project, an innovative network based on a distributed, peerto-peer architecture, aimed at fostering the patient empowerment, streamlining the secure exchange of healthcare information, and providing value added services to all citizen and care professionals in Geneva. The core of the system is a secure, distributed, shared patient record accessible by care professionals in therapeutic relationship with the patient. Physician of trust serve as medical information mediators, assisting patients to understand and make the best use of their electronic health record. Challenges include the appropriation by the key stakeholders, i.e., liberal physicians and patients, of a system respectful of their privacy and seamlessly integrated in the care production processes.

e-toile: le réseau communautaire d’information médicale de Genève