[EMAIL PROTECTED] wrote:

> The analytical methods are much the same as in our published
> comparison of FRACGPs with non FRACGP VRGPs in Medical Care.
> see: Miller G, Britt H, Pan Y, Knox S 2004. Relationship between
> general practitioner certification and characteristics of care. 
> Med Care 42(8):770-778.

Hmmm, I can't access that paper as Sydney Uni doesn't seem to have an online 
subscription to the journal (damn and blast and a thousand curses on all 
closed-access scientific publishing!). Thus, could I request an offprint of the 
paper from you please, or a PDF of the manuscript?

> An interesting recent report from the Centers for Disease Control
> and Prevention, National Center for Health Statistics (NCHS) may 
> be of interest to you. 
>
> "Assessing the potential of national Strategies for Electronic Health
> Records for Population Health Monitoring and Research".
>
> It can be downloaded from
> http://www.cdc.gov/nchs/data/series/sr_02/sr02_143.pdf  
>
> The Summary and Highlights (pages vii-xii) bring it all together.

Ah yes, some familiar looking names amongst the Australian key informants, and 
if I am not mistaken, some familiar words and turns of phrase in the text. Not 
much is made of it in the report, but public health people here in Oz are not, 
in general, much aware of or looking to shared summary electronic health 
records for useful population health data. Rather, linkage of more detailed and 
more complete administrative and clinical databases and data collections is the 
key Australian strategy, through facilities such as the Centre for Health 
Record Linkage in NSW (see http://www.cherel.org.au/ ) and the West Australian 
Health Data Linkage Unit (see 
http://www.populationhealth.uwa.edu.au/welcome/research/dlu/linkage ).

I should add that that is not to imply that shared summary EHRs are not of 
potential use for population health research and monitoring, just that public 
health people currently have very low awareness of and interest in EHR 
initiatives and have been involved hardly at all in the design of any of the 
major EHR initiatives in Australia, as far as I am aware - which is a pity, 
because the public health utility of the centrally-collected EHR data is often 
used as a justification in the business cases for the current round of EHR 
pilot[1] projects.

Tim C

[1] We don't need pilots, we need Airbus A380s! See 
http://en.wikipedia.org/wiki/Airbus_A380

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