I agree that the costs are silly for SMS. It's one of the reason's I'm sparing 
with it & people who try to have a conversation with me via SMS drive me nuts. 
I'll usually just call them.

At the moment the practice has trialled calling patients to remind them. They 
haven't been doing that for long, but they suspect that it hasn't improved the 
patient no-show situation much.

I guess that if they can get a plan where SMS costs 10-15c per message, sending 
the messages isn't tedious & time consuming and they see a decent attendance 
increase it might be worthwhile.

Neil


----- Original Message -----
From: Horst Herb <[EMAIL PROTECTED]>
To: General Practice Computing Group Talk <[email protected]>
Sent: Friday, November 24, 2006 3:04:02 PM GMT+1000 Australia/Sydney
Subject: Re: [GPCG_TALK] SMS reminders and privacy concerns?

On Friday 24 November 2006 14:48, Hugh Nelson wrote:
> I think that the Medical Record needs to document that the patient
> consents to SMS messaging.
> We obviously need to have that in the data structure in future.

What a blessing that there is such poor mobile coverage in my area - hardly 
any patient uses SMS (which is ridiculously expensive btw for the few bytes 
that get transferred in a fraction of a second!!!)

In general, I think it is up to the patient to decide how far or how little 
they want to risk their privacy. If patients want me to send their results 
via unencrypted email - so be it. If they want to access their health records 
via web browser - same thing. All they need is to understand the possible 
implications, and I discuss this with them in detail. Only constraint is that 
anything that needlessly compromises privacy by current technical standards 
should be strictly OPT IN.

I would see it as far more important to protect *misuse* of private data - eg 
telemarketers straight to jail if they dare to molest me without explicit 
consent or at least without respecting a national "do not molest" list.

Horst
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