Mario Ruiz wrote:
Thanks Greg,
It appears that the only reason for the practitioner to own the record
is purely medico-legal, aka ACD's (ass covering documents). However,
with a robust ehr architecture and a clear legal framework in place
nothing precludes the patient from being the holder of the ehr without
compromising the integrity or adulteration of data, even under a legal
dispute situation. The patient hasn't probably got a chance in a 100
million of altering the ehr even if it tried.
I suppose it becomes more of a philosophical view on how to go about it,
and where we want the emphasis to lie.
Mario,
The practice to date has been that the practitioner holds, if not owns,
the record. Deviation from that, and its security and possible benefits
are speculative at this point.
What occurs in other jurisdictions with other traditions doesn't really
make much difference here and now. There are many reasons to think that
the risks from the changes you suggest must be reasonable and tested
before the leap occurs.
For example, see today's list about the concerns re the UK EHR.
Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200
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