Le 14/03/2018 à 12:41, Thomas Beale a écrit : > so the long term solution is healthcare data and major services > (workflow / process) must eventually be part of a back-end system that > isn't owned by any product vendor or care delivery location, but > instead managed on behalf of the patient by a trusted third party.
Why do you believe that a third party is necessary/useful? In my opinion, your (health) information is yours and you can manage it yourself in a personal cloud or with a Ligne de vie. > > I would say: the term 'patient' just gets demoted to meaning a > client/supplier relationship that sporadically occurs between a person > in a health system, and the health system's healthcare provider > organisations. OK. And the pivotal term here is "sporadically". When switching from the (health) organization reference frame (still cameras fixed on the walls) to the person's reference frame (head mounted real time camera), you switch from a set of specialized sporadic encounters to a life long holistic management (that includes sporadic health related encounters). This is the reason why the term "patient" is not consistent here. I always wonder what people have in mind when they write "patient centered system". Maybe a head mounted camera that just capture still images and operates inside care places only ;-) Maybe just words, but when properly analyzed, they tell a lot about cognitive dissonances. Philippe _______________________________________________ openEHR-technical mailing list openEHR-technical@lists.openehr.org http://lists.openehr.org/mailman/listinfo/openehr-technical_lists.openehr.org
