Greg Twyford wrote:
David Guest wrote:
Can we show that computerised primary care in Australia is
better than US largely non-computerised primary care or are there too
many uncontrollable variables?
Surely one of the primary care representative or training bodies has to
promote or take this up as an important research area? There is lots of
stuff that suggests some benefits from overseas, notably BMJ, that I've
seen over the past few years.
EHR data manipulation is
still a complete mess of course with no obvious solution on the
horizon. ;-(
David,
With Divisions needing to extract patient-level data over the next few
years to continue meeting our funding contract goals, this will become
an increasingly interesting area. Particularly if MS SQL becomes the
dominant database technology in the market place.
Third-party extraction tools for MD2/Spectrum Classic/FoxPro abound, but
MS SQL may give the vendors the whip-hand.
Greg
Is it time for the MSIA to act as the responsible industry body that
will drive change. Importantly there is a vested interest by these
members (except HCN), to generate a universal EHR template which allows
migration from once clinical software package to another.
With regards to the need for Divisions to collate more practice data,
should Divisions approach HCN as a collective to contract a tool that
allows wholesale data extraction from the encrypted tables of MS SQL.
The KDS technology was to be our saviour, however the maturity and
expense of this approach is rate limiting.
Same stories, different year. Is this the New Dreaming ??
Andre.
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