If there was access then the quality of the records might improve out of
sight.

David de Bhál
www.v-practice.com


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Horst Herb
Sent: Wednesday, April 26, 2006 4:29 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Clinical software recommendations

On Wednesday 26 April 2006 16:10, David de Bhál wrote:
> The view is that the patient is more important than the practitioner in
the
> whole equation.

Should be.

Problem is, as outlined, that the practitioners professional life might
depend 
on integrity and availability of records, e.g. in a litigation case.
If you take the control over the record from the practitioner, you might
take 
the practitioner out of the equation completely - "patient heal thyselfe
..."
In a non-fault-based non-litigationous environment I'd fuilly agree with
your 
sentiment, but here in Oz I have to think self defense first

A compromise would be to leave the practitioner in control of the records,
but 
give the patient (or people designated by the patient)  full read-only
access 
(maybe plus a writeable comment area) via Internet if the patient so
desires.

We are currently experimenting with web access for selected patients, where 
they can access their records with user name / password combo from anywhere,

and annotate the records with comments (which get forwarded to the 
practitioner by email automatically)

Horst
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