Tom Bowden wrote: > Tim et Al, > > I fully agree with Andrew S. here. Some people are so keen on an > idealistic model of healthcare IT delivery that they blithely overlook > the fact that the only environments where effective integration in > primary care exists is where there is an integrator such as Argus, > Medical Objects or HealthLink knitting the sector together. Without a > party working to pull things together it (Primary care integration) just > doesn't happen. > > I am in near daily contact with people all over the world and I can > assure you this is a sound assertion. Please do tell us of one > environment in which clinical applications "talk" electronically on any > scale without an intermediate system or systems involved. The only one > that has a hope of doing it is the UK with its centralist command and > control approach and x billion pounds expended and counting. However > even with all that expenditure, the UK is still way behind other > countries (that have a more pragmatic approach) when it comes to > connecting primary care. I can assure you that integration models such > as that provided by Medcom in Denmark and other examples closer to home > are much more cost effective, responsive and indeed highly successful. > > So there's a challenge for you, ....Tim? Anyone?
Very few such systems, because the standards needed to allow this to happen do not yet exist. Hence the current need for "messaging integrators" like your company. That was my point. But with adequate standards, and implementation of these in clinical applications, the need for such integration services starts to fade away. Sorry about that. Tim C > Tim, > > I agree that it would be great if clinical apps could handle all your > messaging needs. Considering how hard it is (and expensive) to get them > to make the smallest change to their systems, I just don't see how this > can ever be accomplished. Mindful that we should be ever careful of what > we wish for, I advise against wishing the message vendors away... > > > > Tim Churches wrote: >> If we had such standards, as well as standards for the >> transport/encryption layer for messaging, then application vendors >> could and would just implement messaging directly in their products >> and the mini-industry of health secure messaging which has sprung up >> will just melt away, and life will be simpler and cheaper for > everyone. >> > -- > Andrew N. Shrosbree B.Sc, B.Ec > Technical Architect > ArgusConnect Pty Ltd > http://www.argusconnect.com.au > Mob: +61 (0)415 645 291 > > Skype: andrewshroz > > _______________________________________________ > 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 > > _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
