Hi Greg, You deliver a cogent criticism of the status quo.
I am suggesting use of GP computing is also not as rich as lots will claim and the all electronic practice is about as common in the US as here. More - they (the US) are moving fast to improve I believe - we are not as best I can tell - let me (and all of us) know how many paperless practices (as a % of the total) are in place as we chat and how fast you think it is improving. Cheers David. ---- Dr David G More MB, PhD, FACHI Phone +61-2-9438-2851 Fax +61-2-9906-7038 Skype Username : davidgmore E-mail: [EMAIL PROTECTED] HealthIT Blog - www.aushealthit.blogspot.com On Mon, 26 Feb 2007 16:45:25 +1100, Greg Twyford wrote: > David More wrote: > >> The fact everyone is so worried about $28K shows we don't have a very >> serious, broad or deep indigenous Health IT industry - I am sure the price would not >> worry IBA, HCN and a few others. In fact I believe (and this may not be >> popular) that we would do much better with 4 or 5 large well resouced providers >> than the status quo. May be the service levels that people are complaining >> about could be improved. >> > > David, > > One of my deep concerns as a Division IM&T person and as private support > provider is that lots of the stuff out there is crap. The clinical market has > improved somewhat, but the maintenance overheads for > practices, most recently with monthly PBS updates thrown in, has gotten very > silly. > > More importantly most 'free' software markets seem to inexorably tend to > near-monopoly, leaving us with the sort of situation of a key player with its own > agenda and everyone wanting them to conform or meet a particular need, while > the little guys live in various degrees of tenuous resourcing. > > The key player is in the luxurious position that it can dictate to > government, knowing its rivals will be hurt trying to keep up anyway. A bit > like Telstra, actually. > > I don't see how you can really set up the sort of robust, standardised > environment needed to meet a community's health needs properly that way. Even the > hospital sector struggles with a very imperfect market. > > Again the US DVA clinical software comes to mind. One in-house > application used across a whole hospital system and so successful it has > moved outside it's original role. Others, like the Scots, have done this, as David > Gillies explained at 10CC back in 2000. > > > Greg > -- > Greg Twyford > Information Management & Technology Program Officer > Canterbury Division of General Practice > E-mail: [EMAIL PROTECTED] > Ph.: 02 9787 9033 > Fax: 02 9787 9200 > > PRIVATE & CONFIDENTIAL > *********************************************************************** The > information contained in this e-mail and their attached files, including replies > and forwarded copies, are confidential and intended > solely for the addressee(s) and may be legally privileged or prohibited from > disclosure and unauthorised use. If you are not the intended > recipient, any form of reproduction, dissemination, copying, disclosure, > modification, distribution and/or publication or any action taken or > omitted to be taken in reliance upon this message or its attachments is > prohibited. > > All liability for viruses is excluded to the fullest extent permitted by law. > *********************************************************************** > > __________ NOD32 2080 (20070225) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.eset.com
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