Chris Hogan wrote:

I am up at the GP & PHC Conference where naturally the topic turned to
Health Informatics.

Yes, informatics and Australia's slow progress in improving electronic
management of clinical information kept coming up in many of the 236 papers and posters, and plenary sessions and workshops. Despite this, the Conference had no specific sessions on informatics other than a fascinating workshop run by Prof. Teng Liaw and his colleague in Shepparton Dr. Douglas Boyle, a Scottish computer scientist who set up a very powerful nationwide diabetes database in Scotland, which enables users to look at all of the diabetes-related information of every diabetic in Scotland. Douglas showed us some of what is available in that system and it is mind-blowing. Doug's details are at:

http://www.findanexpert.unimelb.edu.au/researcher/person142641.html

The actual purpose of the workshop was to do some research! A table of GPs, another of allied health professionals, another of health service managers and a fourth one of researchers (acknowledging that some people had multiple roles) independently wrote down what kind of information about patients should be shared in order to facilitate and maximise the person's long term health care. There was a structured voting process (the exercise apparently used something called the nominal group technique) and then the results were collated by Teng Liaw working hard at his laptop machine in real time. What came out was that the different professional groups had quite different ideas about the information that they thought should be shared, but it turned out that each group called the same types of information by different names, so some of the differences did not really exist. I understand that Teng and Doug will be publishing the results.

Apart from my paper about GPs' experiences of receiving opportunistic reminders for preventive activities, the only other informatics-specific presentation that I was able to attend was a very interesting and challenging paper that compared the quality of care with and without computers and found no obvious difference. The abstract is at:

http://www.phcris.org.au/elib/render.php?params=3700

and the slides of all the presentations will be on the Conference Web site http://www.phcris.org.au/conference/2007 within a few days.

I have suggested to PHCRIS who run the GP&PHC conferences that in view of the vital role of informatics in health care they should actively seek to invite and involve people working in health informatics to attend next year (it will be in Hobart early in June 2008) and that they make informatics one of the themes of that Conference.


--
Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens, South Australia 5086
Phone 08 8261 1355   Fax 08 8266 5149  Mobile 0407 181 683
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