Peter Machell wrote:
On 22/06/2007, at 11:25 AM, Mark Evans wrote:
Peter,
I am not recommending “the most popular system” nor am I
promoting HCN products.
I simply have a request for help that I am trying to facilitate. It is
the practices choice to go to MD3 and they are having difficulty
migrating their data.
I hope that is not too selfish of me.
Mark, I didn't suggest that you were, but from what I see of divisions
up here, they strongly recommend Medical Director and Pracsoft for
reasons that can only be described as selfish.
We recommend those products too, in some cases, but they would certainly
not be my pick for a site used to MSS.
I agree with interoperability between packages for porting information
and helping GPs make informed decisions about what clinical packages
to use.
Well done then!
Peter.
Peter,
You touch on some increasingly disturbing issues.
Here in Canterbury have mostly MD2 still, a handful of new guys with MD3
and a couple of conversions, plus a Primary Health site with Medtech.
I'm not encouraging anyone to change anything at present. We have much
lower rates of PM software, due to lack of incentives and small,
universally bulk-billing practices, with thankfully only a few Pracsoft
users.
What is best for our users? A single big, increasingly unresponsive
corporate-owned product? A range of boutique clinical products each with
low market-share and the potential for takeover, market annihilation, or
disablement of a single, key developer?
How will most Divisions, with no, little or decreasing IM&T staff time
and expertise support a range of clinical products, let alone one
predominant one? How is the market going to resolve any of this? How
will government or Divisions resolve any of this?
I don't know any of the answers to these questions at present, but I do
know that the GP IT situation has stagnated and may be going backwards.
It seems to be doing that for MSS users as we speak.
OK, you say that just mirrors Health IT overall, so what?
A speaker from NEHTA recently sent us all to sleep at a conference
talking in abstract generalities about interoperability. Ever since
1999, when I moved careers to work in GP IT, this has been a major goal
of various bodies, but where is the evidence of progress?
Can we really recommend to anyone that they place their patients health
records in any of the products in the market under the current
circumstances? Possibly yes, if you have a narrow commercial
self-interest. Probably no, if you have an interest in the nation's
health outcomes in the long run.
Maybe the government will discover this 'emergency' one day too?
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
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