To what extent will digital health transform the organization of care?

Digital health, understood as all new information technologies (including artificial intelligence) applied to health, seems to impose the idea of a revolution. This general review studies their added value by taking the emblematic case of the contribution of telehealth in the organization of patient care. Based in particular on research conducted in oncology, the CAPRI program, analysis shows that effectiveness in terms of quality of care, patient experience and cost control depends on the use made of technology. The expected uses, the best coordination and the implementation of effective patient monitoring depend on three factors: the implementation of the technology, but also the way of organizing the activity of the coordinating nurses to treat the information, and uptake by patients and physicians. In particular, the adoption by doctors is improved when the activity of nurses makes it possible to select the relevant clinical information and to ensure a delegation of tasks. It is an assessment of organizational transformation through the prism of its uses that digital innovation requires. Strategies must be designed at this level of use to enable the promises of digital health to be realized.