> -----Original Message-----
> From: [EMAIL PROTECTED] 
> [mailto:[EMAIL PROTECTED] On Behalf Of Andrew N. 
> Shrosbree
> Sent: Monday, 21 August 2006 11:55 AM
> 
> ArgusConnect are involved in a major project with the TEDGP 
> to revive the whole concept of personal digital signing. We 
> are working closely with HeSA and CyberTrust.

I am not against individual digital signing in principle.  I accept that
it does add a bit more certainty about who sent a message.  My question
is how much difference this makes in a daily practical sense for the
tasks that GPs are doing.

How much does it matter to me or to any other GP to see or know that an
letter received electronically (e.g. via Argus) from a specialist has
been digitally signed by that specialist?  (Note: I am not questioning
the need for encryption - clearly that is vital - it is digital
*signing* that we are discussing here).  To date, in my limited
experience so far of incoming electronic letters (some sent by ordinary
encrypted email, some by unencrypted email and some via Argus), the lack
of digital signatures attached to them hasn't bothered me at all.  I
would be interested to know from my specialist colleagues how much it
matters to them or would make their lives better if my referrals sent
electronically were digitally signed by me.  So far none of the
specialists has asked me to sign my referrals digitally.

If digital signing was very easy and didn't add significantly to my
workload, I would have nothing much against it.  However, if it is going
to require extra steps in generating or sending electronic letters, such
as having to mess around with an iKey and enter a user name and a
password, then to justify that extra time and effort I would need to be
convinced that it really is providing a significant extra benefit to the
patient, me or the recipient of my letter.

If digital signing is being promoted by anybody including Argus merely
to satisfy the Medicare bureaucracy, and digital signing is not adding
anything useful to our care of our patients, I will campaign to get the
Medicare requirements changed so that digital signing is officially not
required.

Does anybody on this list believe that digital signing, for the purposes
of communicating with our colleagues about patients, really adds
anything useful in terms of actual quality of care?  I am open to
persuasion on this.  I know that Horst has said previously that digital
signing of at least some communications is a good idea.  Horst, do you
believe that digital signing is desirable and worthwhile, in quality of
care terms, for referrals, replies to referrals and other communications
between providers about mutual patients?


Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens
South Australia 5086
Ph. 08 8261 1355  Fax 08 8266 5149
_______________________________________________
Gpcg_talk mailing list
[email protected]
http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk

Reply via email to