Tim Churches said:

However, clinicians are poorly served by information tools in this
respect, and there is also a lack of engagement between public health
people and clinicians. But these things are changing, slowly.

Geoff Sayer response:

I would argue that the data that is used in aggregating has to be the same
data that you can run the decision support systems with. Getting clinicians
to capture data in the normal course of business should allow them to
aggregate but also should then be the very same data that they use for
initiating electronic "population/practice based initiatives". We often see
a dissonance between population health strategies which relies on
aggregation external to the clinical system without thought to effectively
roll the findings back into electronic strategies that affect clinical care
on single doctor-patient encounters (eg. generating recalls, prompts,
implementing treatment pathways etc). Doctors are interested in populations
but they care very well on a one to one basis.


Geoff Sayer
HealthLink Pty Ltd

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