On Tue, 2003-06-10 at 04:43, Thomas Beale wrote: > agree with all this; the big question in my view is to do with data > governance, and infrastructure ownership/guardianship.
<snip> > (something more like HMOs that stretch around the globe?)
I know you are all tiring of my US family physician centric point of view. <g> But it really seems to work now for paper and the less you change the way people work (initially) the better the acceptance. With less than 10% penetration this is a primary concern here.
If my EHR is too large to fit on a CD, USB stick or any other portable media.....then when I checkin/register with my new physician I tell them who my previous physician was and they request a copy of my record in the magical stan
Hey . . . this list is supposed to let us dream a little without risking exile to corporate Siberia :-)
Would it be any consolation to know that when I do consulting, it's 60% "leading horses to water?" I can certainly emphasize with Tim's view. Same situation with developing websites as it is healthcare software.
I tend to look to presently established business practices that provide a useful means for segue to a new system. In my state, for example hospitals report monthly statistics to the dept. of health. It's a good process to learn from when pondering these ideas related to data sharing.
In Mexico, which is mostly "cash and carry" medicine I have no idea how a migration would work, but I suspect it would only happen between crony doctors at first - if at all.
In the land of OZ (Australia), where American insurance companies will pay for surgeries, it may be a different story still. I'm guessing . . .
--Richard
