Duncan Guy wrote:

> David Guest wrote:
>  walk into any Primary store and the docs would have full
>
>> access to your medical record. It would even give Bateman an opportunity
>> to enter the specialist market since there would be advantages in
>> vertical integration. 
>
>
> Specialists of any calibre tend not to be associated with medical
> centres imho.
>
> The future is specialists forming their own groups with shared
> resources, multidisciplinary care and having it owned by the Drs not a
> corporate.  We have all seen our radiology and pathology colleagues sell
> the farm and end up disgruntled labourers.

I agree with all this Duncan, but money talks.  It seems as if the
pattern is to create a successful organisation, achieve efficiencies
through modern business techniques (viz. don't let the docs run the
show) and then wait for the next stock market boom and sell at some
fantastic multiple. The docs don't seem to have quite worked out what to
do after that, however. Start again, eh, jd?


> The integration that is more likely to occur is specialists sharing an
> EHR and possibily extending it into hospital care with electronic
> discharges as I have mentioned previously.

How is that integration? I would have thought the last thing specialists
want would be to take on the role of the GP. There's too much heartache
and not enough money.


> Another option we are investigating is a web interface to our EHR that
> will allow GPs to logon and look up their patients results adn reports
> and make appointments .. 

No that's one step too short. They don't have time to wander around web
interfaces. They need to be able to readily suck down data to an EHR
that can handle and display it for them.


> dont need to all be owned by the same corporate or use the same EMR to
> make it happen 

I think that distills the future dilemma. Share or be assimilated.


> .. stay tuned hopefully working by second half of the yr.

Shall do. Good luck with it.

Cheers.

David



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