And I agree with Digs. David de Bhál www.v-practice.com ________________________________
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Greg Markey Sent: Sunday, September 24, 2006 2:43 PM To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] 5 important things I agree with Dave. G David de Bhál wrote: > The difference is in the approach. > > Horst sees a piece of software as an item such as an item of service like a > consultation. > > Mario sees it as a service and an ongoing relationship. Neither is right nor > wrong. > > It is just perception. I feel that if MYOB does a service like updating the > information, then they are entitled to a fee for this and when the EULA was > signed it was most certainly in there. No point in quibbling if you did not > read and understand before you started using it. > > There is a huge conflict with the medical model because it is a > relationship-based model(used to be and can be in isolated areas but not in > cities where 90% of us practice) with episodic fees whereas the other to him > is a once-off service. > > Horst's patients, for example, are a captive audience and have a > geographical lock-in which is the real feature he portends to hate, and in > the cities we have the transactional model which fragments care but is a > model we have to live with. > > But the conflict comes from the approach. One is "here it is - do what you > will with it" the other is "we can help you manage it". The Corporations > approach also comes into it because they need to make money and usually for > a defined period and as with the "Bowls club" approach to trying to get > consensus - you just cannot do it. Whoever started MYOB, or, indeed, Medical > Director, had a different approach and after it got too big or outgrew its > original purpose, some corporation took it over to milk it and changed > course. This is Business. Most Doctors try, one way or another, to have > lock-in. Just look at Dermatologists with closed books. You cannot get up > from one cardiologist and take your bat and your ball and your angiograms > and go and see another. This situation should not arise. > > The problem with the open source model is that very few people can look > after and manage it and even the people on this list who can actually do > this properly are few and far between just as with cars - very few people > have the expertise and effort to do every part of the car's maintenance. > > So the problem is the difference between a transactional model and a > relational model. > When you get to a relationship model with transactional billing, you might > just have it right - which is where Horst is with his medicine but not with > his IT. > > Horses for courses. > > David de Bhál > www.v-practice.com > ________________________________ > > > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] > On Behalf Of Mario Ruiz > Sent: Saturday, September 23, 2006 7:48 PM > To: General Practice Computing Group Talk > Subject: Re: [GPCG_TALK] 5 important things > > You do not seem to place any value on the knowledge component. For example, > "it cost nothing to adjust the screw, but is $100 to know which screw to > adjust". > > Your approach clearly ignores the investment in training, education and > attending seminars, work experience, etc, etc. You surely would argue and > defend this same points as a practicing GP to justify the charge of a > standard Item 23, would you not?. > > > Mario > > > > Horst Herb wrote: > > >>I don't see get rich quick schemes as sustainable business model. A >>honest sustainable business will charge according to time and >>resources invested, and will value customer relations enough not to >>bother customers with peanuts. >> > > > >>Horst >>_______________________________________________ >>Gpcg_talk mailing list >>[email protected] >>http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk >> >> >> > > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > -- > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.1.405 / Virus Database: 268.12.8/455 - Release Date: 9/22/2006 > > _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.12.8/455 - Release Date: 9/22/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.12.8/455 - Release Date: 9/22/2006 -- This message has been scanned for viruses and dangerous content by MailScanner, and is believed to be clean. _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
