Cedric Meyerowitz wrote:
Now I see we recommend funding by NPS, HIC or somebody for drug interaction
checks, etc. Are we asking for the easy way out and being too lazy to then
look it up ourself like in the olden times ? One of the reasond EHR started
was to make our life easier with all these checks etc. People now charge us
for this luxury - is a big time saver, time is money - thus is money well
spent. Yet we want it free and the tax payer must fund it.
ah well... when there's a fuck up because you don't do everything :
1) your arse is toast in the law's eyes
2) the expense involved medically in remedy are the patient's /
medicare's / indemnity's- and thus ultimately the taxpayer will pay even
MORE for it
there is substantial power in "bulk buying" information for the public
good and allowing free access rather than auctioning it off
oh yeah, and the patient may be inconvenienced if not killed in the
process - i know a LOT about polypharmacy, but i am not stupid enough to
think i can judge the interaction of every collection of prescribed
drugs my clientele require
As recent as 2 days ago I saw a patient: On a weekend went to an accredited
practice because of his cough. No history of asthma & on no puffers. Left
the surgery with prescription for an antibiotic and a Symbicort Turbihaler.
The NPS, Medicare, etc. has spend millions educating about PBS, RB &
Authorities. All good medical software displays these indications. Yet the
GP's ignore these instructions displayed on their screen. Yet Doctors who
are suppose to be the cream of intellegence never listens or reads - even if
it is displayed in front of their eyes on a PC screen, otherwise how can
some GP's prscribe drugs on the PBS if patients don't qualify ? This is not
an isolated case. Not only myself, but a lot of other GP's find exactly the
same on a very frequent bases. Maybe the practice uses a program that
allows a prescription to be generated in a millisecond - like I see some
people brag about.
did you stop his beta blocker (or the eyedrops with them in), or was it
the ace he was on ?
what antibiotic did you choose ? why ? did he need it ?
you can lead a horse to water, but you need water to lead it to.......
Once taxman pays for all our vital equipment, the Dentists, pharmacistys
etc. will be next asking for their freebies as it is in national interest.
the money saved by universal access to good data would pay for itself
numerous times over... the fact that the therapeutic guidelines and amh
and all the data in ciap and equivalent are not supplied by government
funding merely reflects the idiocy of strata of government where the
accumulated expense of its non-availability is someone else's problem
pity that government has a holistic approach and was liable for omission
of assisting good care
i don't pay for those things because i don't own and run my practice;
i'd love them to be supplied, but it ain't up to me
guess it's cheaper for the feds to leave the public hospital system to
pay fpr the consequences - because it's a state problem
even if you are a self professed genius, i would prefer some useful
electronic tools, and i believe they should be supplied for the general
good of the well being of the nation... but i expect that's my hippie
leftie leaning approach
</rant>
ash
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