When several professionals intervene at the home of an elderly person, the coordination of care relies on the quality of the information shared between them. The follow-up of home care via Netsoins Domusvi raises a measurable question: what concretely changes in the traceability and transmission of health data when a computerized user file (DUI) replaces paper transmissions or phone exchanges?
Traceability of home care: computerized DUI versus paper follow-up
The difference between a paper follow-up and a DUI like Netsoins is not limited to the medium. It affects the speed of access to information, the reliability of transmissions, and the ability to cross-reference data among caregivers.
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| Criterion | Paper / phone follow-up | Computerized DUI (like Netsoins) |
|---|---|---|
| Access to the file | On-site only, in the home binder | Accessible online by authorized professionals, including remotely |
| Transmission delay | Variable (waiting for the next visit or call) | Real-time after entry |
| History of actions | Sheets sometimes incomplete or illegible | Timestamped traceability of each intervention |
| Risk of information loss | High (lost notebook, torn page) | Data hosted according to HDS standards |
| Multidisciplinary coordination | Depends on the goodwill of each caregiver | Structured sharing among caregivers, doctor, management |
This table highlights a often underestimated point: timestamped traceability eliminates gray areas between two visits by caregivers. When a home helper notes an observation at 9 AM, the nurse who comes at 2 PM can consult it even before entering the person’s home.
To better understand the functionalities offered in this context, the Netsoins Domusvi online service details how the computerized file structures the daily follow-up of seniors assisted at home.
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Compatibility with Mon Espace Santé and regulatory obligations of the DUI
A DUI does not operate in isolation. The digital health doctrine 2023-2027, led by the Ministerial Delegation for Digital Health, requires DUI software in the medico-social sector to be capable of feeding the Shared Medical File via Mon Espace Santé. This requirement also applies to structures intervening at home.
In practical terms, this means that data entered in a DUI must be able to be exchanged in a structured form with the rest of the health ecosystem. The treating physician, local hospital, or pharmacist then accesses coherent information without manual re-entry.
What this changes for home follow-up
- Nursing reports or alerts about health status are sent to the treating physician without going through a fax or postal mail, which reduces the response time in the event of a deterioration.
- In case of hospitalization, the emergency service has an exploitable history instead of an oral summary provided by the family caregiver, which is often partial.
- GDPR compliance and certified HDS hosting ensure that health data circulates in a secure framework, with a complete history of access.
This articulation between DUI and Mon Espace Santé is still being progressively deployed. Not all software has yet reached the same level of interoperability, making the choice of software solution critical for home care structures.
Integration of connected devices and home telemonitoring
Since the generalization in early 2024 of reimbursed telemonitoring for certain chronic conditions (heart failure, diabetes), home nursing services are beginning to integrate data from connected devices into the computerized file. Scales, blood pressure monitors, glucometers: these sensors transmit measurements that, once centralized, allow for the detection of an anomaly before it leads to hospitalization.
The DUI then becomes a continuous receiver of physiological data, not just a logbook of caregiver visits. This evolution, documented in field feedback from the ETAPES projects and the reports presented by the HAS and Health Insurance in 2024-2025, changes the very nature of home follow-up.
Current limitations of this integration
Not all DUIs are natively designed to receive these data streams. Integration is sometimes described as “opportunistic”: the software accepts the data, but without a dedicated analysis or automated alert module. The difference between a tool that stores measurements and a tool that triggers an alert when blood pressure exceeds a threshold is significant for team responsiveness.
The challenge lies in the capacity for automated analysis of connected data, not just their simple collection. A DUI that displays a blood sugar reading without comparing it to previous values provides only marginal value compared to a paper log.
Planning interventions and coordinating teams at home
Managing schedules is a recurring friction point in home care and assistance services. When a network mobilizes nursing assistants, nurses, home helpers, and sometimes physiotherapists for the same person, centralized planning avoids overlaps and empty slots.
A DUI that integrates a planning module allows management to visualize in real-time the visits made, delays, and cancellations. Information is relayed without waiting for the end of the day, facilitating replacements in case of unexpected absences.
Impact on the maintenance of autonomy for individuals
For an elderly person losing autonomy, a missed visit can mean a skipped meal, a medication not administered, or an undetected fall. The digital coordination of teams reduces this risk by making visible each scheduled and completed intervention.
Digital follow-up does not replace human relationships, but it makes visible what remained invisible: gaps in support, discrepancies between the prescribed care plan and the actions actually performed. For families as well as for professionals, this visibility constitutes the first lever for improving the quality of home care.
The DomusVi network, with its agencies spread across the territory, is part of this logic of digitizing follow-up. The question for the coming years will no longer be whether a DUI is necessary, but to what extent it communicates with the rest of the health system.