Les défis que soulève l'informatisation de la pratique médicale sur le plan de l'innovation technologique.

In this article, based on the problem of the shift to outpatient care in the healthcare sector, we explore the multiple challenges raised by the computerization of medical work. We show how the process of technological innovation within health organizations too often rests on a technical-economic logic, thereby underestimating the role of health practitioners as the ones who communicate practices. We focus on the idea that it is necessary for these organizations to rethink the process of technological innovation by integrating a medical-integrative logic based on an organization model of collaboration between subjects from different areas of expertise (health professionals, managers, administrators, promoters of new technologies, engineers and computer experts, etc.), that is to say, a model that reaches out to the "real user" and that is not limited to picturing a "model user". This is why we insist on an integrative model, which is based on health professionals as experts of their daily work, playing a central role in the process of technological innovation as well as on the consideration of the technological and economic processes that health organizations are confronted with. Ultimately, we propose that it is necessary to rethink communication between health care organizations. [ABSTRACT FROM AUTHOR]