Richard,
Unless things have changed dramatically since I managed DEC's Canadian health care business most if not all Sofware Vendors control 80-90% of hardware sales and therefore dictate the data architecture and ease of integration ....not the other way around. The hardware vendor may be the starting point for what is possible...but they just supply the bricks and play second fiddle to the solution provider.
Open source can level the playing field in health care....BUT the hardware vendors will have a very difficult time jumping on the VistA band wagon in a very public way, for example, because of the potential "channel conflict" that this will create with their software partners.
The next couple of years will be interesting to say the least.
Joseph
Richard Schilling wrote:
> It is interesting to note that none of these companies makes or sells
> software for health systems....if anything they are at the mercy of
> health software vendors....and what about IHE and all the other efforts
> to integrate the jungle of applications?
This is definitely not the case. They actually *dictate* the design of a lot of healthcare software applications. They might not be companies like McKesson or IDX, but they do certainly make general health care systems infrastructure - especially that which is suitable for the national health information network (NHIN). They have a HUGE stake in healthcare.
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