Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Thomas Beale
Having the shared EHR literally at the GP clinic is unlikely to be a good approach for technical reasons, even though the GP will in many cases be the best gatekeeper. A better solution is on secure servers at about the level of the primary care trust (UK) - in principle it needs to be at a

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Adrian Midgley
Thomas Beale wrote: Having the shared EHR literally at the GP clinic is unlikely to be a good approach for technical reasons, even though the GP will in many cases be the best gatekeeper. A better solution is on secure servers at about the level of the primary care trust (UK) **

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Thomas Beale
Adrian Midgley wrote: Health service administrative organisations are changed a little slower than underwear, but are far from constant. And the persistence of information between two avatars of essentially the same admin-org is similar to that on underwear. And that is the way the

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Nandalal Gunaratne
I presume you mean that holding it at the GP level is far more stable for the patient? Admin/manager changes can vary, and their approach to change as well. THerefore it all depends. As for change in underwear, this could vary as well, if you listen to this story :-) A customs officer was

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Will Ross
With regard to the underestimated complexity of Healthcare IT, the recent comments by Andrew Grove are relevant. But a key problem with this plan is the lack of a good medical records system, Grove said. His solution? Not the complicated, expensive medical record-keeping system that many

[openhealth] Re: GPs Revolt

2006-11-26 Thread mspohr
I find Dr. Grove's approach interesting. He focuses on the keep is simple (KISS) principle and is rightly worried about huge spending on unproven information systems. He also proposes the widespread deployment of simple walk-in clinics to lower the cost and improve access to medical care. These

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Nandalal Gunaratne
10 years ago! Do you think that is still valid, now? Have you changed your views since then? If the patients record is held in different places, how does the patient keep up with the changes? Is it his responsibility to keep it completed and upto date? Maybe he should carry the version wth him

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Adrian Midgley
The structured mess in the bucket approach. It does appear to be within our capabilities. -- Midgley

Re: [openhealth] Re: GPs Revolt

2006-11-26 Thread Will Ross
Gregory, Sun purchased SeeBeyond last year. http://www.seebeyond.com/ It in now part of Sun's Healthcare and Life Sciences business unit. With best regards, [wr] - - - - - - - - On Nov 25, 2006, at 10:24 AM, Gregory Woodhouse wrote: On Nov 22, 2006, at 5:51 AM, Seref Arikan wrote:

RES: [openhealth] Re: GPs Revolt

2006-11-26 Thread jforman
Updated information can be found at http://www.sun.com/software/javaenterprisesystem/integration_suite/index.xml Regards, John _ De: openhealth@yahoogroups.com [mailto:[EMAIL PROTECTED] Em nome de Will Ross Enviada em: domingo, 26 de novembro de 2006 16:54 Para: