More generally, a few years ago France was lagging many European countries in the take-up of personal electronic health records and exchange of information between professionals (European Commission, 2013a), and its overall readiness to adopt e-technologies remains low (OECD, 2017a). A single phone number has been in place to co-ordinate out-of-hours services since 2015, 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 medico-economic evaluations, notably by independent institutions and researchers, or to improve the detection of abuses and fraud.