Mike,

On 5/16/08, Mike Tintner <[EMAIL PROTECTED]> wrote:
>
>  Briefly, my thought re a super-medi-wiki is that it only presents
> theories/contenders rather than definitive answers - and there must be some
> ratings/voting system.Yes that favours conservative thinking which may
> become out-of-date. But users will still look for "outsider" ideas, and it
> should present the latest "kooky" ideas as long as they have some backing.
>

Good so far.

 I can't believe there isn't a way round any marketing difficulty.
>

It's pretty strange out there. A few of the more insurmountable barriers
include:
1.  The people whom I am talking to simply have no place in their mental
filing system to put what I am explaining.
2.  Their credentials are in other approaches, so the first casualty in
going with my approach would be their own jobs, as more suitable experts are
brought in.
3.  The organizational structure is built around a particular paradigm, and
there is absolutely no hope of reorganizing because people would panic over
possibly losing their jobs.
4.  They want to see it work in some other setting before committing
resources.
5.  They can only grant me 15 minutes during an initial meeting, figuring
that anything that can be fully explained in 15 minutes (to someone with no
applicable skills) hasn't been fully thought out yet.

 Maybe you should write/talk to Kaiser et al and ask what they would like
> from such a system.
>

Of course they already have an IT department to do just that. I would be
referred there, only to be shown the door by people who see their own jobs
in jeopardy.

 Every medico, presumably, has to research/Google info now and therefore
> will have all kinds of explicit desires for improvements and some ideal
> database.
>

Many of them have no computer or email address. The degree of computer
illiteracy among doctors is truly astounding.

 But aren't governments or UNO funding any projects here?
>

Sure. You submit a proposal to research something and if you have enough
employees, your financial statement looks good, they like the number of
recent PhDs you have, and they like your proposal, then you might get a
little money. However, they do NOT fund commercial rollouts.

Steve Richfield

-------------------------------------------
agi
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