more generally a few years ago france was lagging many european countries in the takeup of personal electronic health records and exchange of information between professionals european commission a and its overall readiness to adopt etechnologies remains low oecd a a single phone number has been in place to coordinate outofhours services since but progress remains partial increased use of performance reporting would incentivise providers to concentrate on aspects of quality that give rise to genuine improvements in patient outcomes the available administrative data could be better used for additional ex post medicoeconomic evaluations notably by independent institutions and researchers or to improve the detection of abuses and fraud