David More wrote:
__ <http://www.smh.com.au/news/National/Way-cleared-for-electronic-scripts/2006/07/28/1153816347647.html>_http://www.smh.com.au/news/National/Way-cleared-for-electronic-scripts/2006/07/28/1153816347647.html_

The SMH front page story was titled: "It's the end for doctors' scribble" suggesting that the remaining non-computer prescribing GPs will have to catch up.

In our neck of the woods, with typically ageing, overseas-trained, bulk-billing, solo practitioners, overwhelmingly, that amounts to 28% of our membership.

The front page story also mentions E-mail: "under the changes doctors will transmit the prescriptions by email [not my spelling] and pharmacists will be able to receive the information after swiping the patient's Medicare [not access smart card] card."

Haikerwail, rightly, is quoted as saying the biggest sticking point is the secure transmission of the script. I wonder if NEHTA was consulted re 'email'?

Pharmacy rep thought it had to maintain the patients' freedom of choice, not to direct the script to a particular pharmacy. The health department rep referred to "some kind of electronic holding point, or mailbox" and that the "security measures still had to be completed". Sounds like a centralised system is envisaged, which was where they'd gotten to with "HealthConnect' before they scrapped it, and God knows what technology will be involved.

Either way, HeSA keys seem likely, which will be very interesting

Greg

/*Way cleared for electronic scripts*/
July 28, 2006 - 6:19AM
Federal and state health ministers have cleared the way for doctors to prescribe drugs electronically, ending the days of the doctor's scrawl. Under the changes, doctors will transmit prescriptions by email and pharmacists will be able to receive the information after swiping the patient's Medicare card. Fairfax newspapers report health ministers saying the new system would eliminate about 400,000 adverse drug incidents a year, triggered by poorly handwritten prescriptions.
But the proposal has met opposition and concern by doctors and pharmacists.
Australian Medical Association president Mukesh Haikerwal said while doctors welcomed electronic prescriptions, they needed convincing the system was secure. President of the Pharmacy Guild, Kos Sclavos, also said he was concerned about the risk to privacy, adding the system needed to be designed to ensure patients could have a prescription dispensed at a pharmacy of their choice. Mr Sclavos said if doctors were allowed to direct prescriptions to particular pharmacists, there would be a risk of "channelling" deals to increase business. Pharmacists also disputed the ministers' claims about reducing mistakes, arguing most prescriptions were already computer-generated and only a small number of doctors still wrote them out by hand.


--
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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