David Guest wrote:
"there were no common software standards,
sending encrypted emails was impossible unless all GPs, specialists and
hospitals used the same software".
David,
To me the critical part is promotion, local initiatives and standards.
Promotion because of the three groups mentioned, the advantages of doing
business this way aren't still well-recognised, except among the
cognoscenti.
Local initiatives have the potential to allow development and
comparison. Medical Objects has achieved this to some extent, so has
Argus, but are these organisations promoting their products, or are the
capable of marketing them across the land?
Local initiatives also give us examples of how to identify the
communities of interest that might want to do business this way. at what
point will an urban specialist adopt such a technology. What % of his
referees will need to be banging on the door? Conversely, will an urban
GP adopt secure messaging if only a couple of the specialists he/she
refers to are using it?
MO has achieved this on the Sunshine Coast and a couple of other places,
Argus has achieved similar things elsewhere. So have some of the
commercial providers [I'm ignoring the path/radiology providers because
they are all doing it, as are most GPs, and their environment is
different for a number of reasons]
Now then there is standards, and at there moment we have the dark hand
of NEHTA, whose apparent control over this domain, and its limited
utterances, leaves everyone waiting to know which way to jump.
And, of course, there's money. Promotion, development, marketing and
adoption all cost money. Talk to your division re the Managed Health
Networks grants.
We've had the recent sad revelation that a functioning GP-hospital comms
system not only can't get the expanded AHS to extend the system
operating in one of its sectors through collaboration in an MHN
initiative, but that system is now in decline, simply because of the
penury of our state health system.
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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