We have decided to drive it ourselves as specialists. After the local
division went broke and couldnt drive it anymore I decided to jump into
the driving seat.
As I mentioned previously we have 30 specialists (soon to be 34) in our
group and we therefore have nearly every GP in our area of Sydney
referring to one or more of us. We also have a large number of
specialists referring tertiary and "quaternary" cases to us for
management. Hence we are going to offer a solution, that we pay for.
Currently we have our typing done via the internet and letters I
dictated this morning I checked and authorised at 5pm. With the email
system in place we aim to have that letter in the GP inbox at 5.01 pm
thus improving the efficiency of healthcare.
Fortunately our group have an understanding of the future of
healthcare and support my i.t eccentricities with $$, usage of the new
fandagled resources and moral support. Given a couple of our
specialists are directors of departments in public hospitals I have no
doubt that once we get it all working it will spread.
We have also set up our first version of the groups website -
*non-propietary - open source* (but sorry Horst, it is based on the
dotnet platform). Those interested in the first edition can have a look
at www.specialistservices.com.au - the product is dotnetnuke -
www.dotnetnuke.com
We are currently using the same platform to develop an intranet with
document management/versioning, time-sheets, rosters, calenders,
information, doctor profiles, phone numbers - all the stuff that you can
do with a wiki.
It will happen everywhere eventually - lets hope we can spark off a
trend with our group.
Duncan Guy
Cardiologist
Greg Twyford wrote:
> Duncan Guy wrote:
>
>> I always wondered how GPs decided who to refer to ...
>>
>> As I thought, not based on evidence based medicine, good service to
>> patients, appropriate investigations, not overservicing. I must check
>> with those other specialists in my area in sydney who dont qualify for
>> any of the above .. perhaps they are using Argus ...
>>
>> btw . the group of 30 specialists that I represent are going to be using
>> a paid service starting in February.
>
>
>
> So have I. Maybe not for the same reasons. One of the big missing
links is some study of GP referral patterns by locality, and maybe by
preference. Most GP-specialist referral pilots that are working are in
small, geographically-identifiable areas, with populations of a couple
of hundred thousand or less, and typically one or two hospitals.
>
> If Central Coast has 2/3 of its GPs on board with its comms solution,
and the hospital, the local specialists may see the advantage in joining up.
>
> Referral patterns in the city seem very complex, so it is harder to
identify who will benefit from say, 50 GPs who want to send referrals
electronically. In the city no one specialist may be interested in them
as only 10 may refer to him, and he has 1500 other referees who send him
letters, are interested in other technologies for doing this, etc., so
he has no motivation to go along with them.
>
> Greg
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