Mustard plaster for pleurisy8/16/2023 Progress is slow, but in time hard work and commitment to team work will win the day.Īt a presentation launching the Feds’ PCEHR, I dared to suggest that a suitable alternative was exactly what Ian Maddocks proposed, thus making the system “Patient Carried E- Health Record”. And perhaps we should all look at what each state is doing well, and then standardising this as a National Gold Standard.īut, while we all strive forward, we need to acknowledge our successes, eg Oacis system in SA, and look critically at our not so successful times, and learn from those lessons. While Queensland Health has had a lot of their own issues, they certainly had some successes on standardising their system. Who takes the responsibility for such occurrences, and what happens to the well being of the patient. So what is to stop anybody corrupting files or displaying them for all to see as a way of obtaining money or revenge. ![]() We already had GP practices ‘hacked into’ and hijacked their medical records. ![]() In the days of mobile phones, tablets etc our security of our identity is threatened every day. My concern is that giving freedom to medical records being carried around raises the issue of confidentiality loss. This is why we have coordinators in the regional hospitals for cancer care, or as the Americans call them, the Navigators. I agree that we should have an easier way forward, in terms of health worker communication esp between many disciplinary teams, and in terms of the patient negotiating their way through the healthcare system. Thank you for your timely article on medical information storage. I would bet my house that a useful, universal personal health record will not be achieved in my lifetime. ![]() The PCEHR and its incarnations are doomed therefore to failure. It’s not the technology – that has been available for 25 years. I am in no doubt that there is a complete absence of political understanding of what is required to make a universal personal health record work. With the exception of controlled environments such as individual institutions or health organisations, attempted implementations of the universally available medical record, just like the PCEHR, have failed miserably at a huge waste of public resoureces. Unless the GP is placed at the centre of coordination of patient care in partnership with the patient, properly paid and appropriately recognised as needing to receive all the relevant management information about patient care, the universally available, trustworthy medical summary will remain nothing more than a dream. Nevertheless I received feedback repeatedly from patients and other health providers alike of the value of the summary provided. This, together with the lack of automation and assistance from software, degraded the quality of the medical summary I could provide. The only way that the extra time per consultation that was required could be funded was for the consultation fee to be at least double the Medicare rebate.Ģ) Being “just a GP”, i was far too often left out of the communication loop when it came to receiving patient information about health care delivered elsewhere. Two problems:ġ) I was not paid to perform the work. ![]() He does exactly what I did for 30 years in general practice, give a problem-oriented medical summary to each patient. So I will not support or use a PCEHR while the information which it contains is controlled by the patient.ĭr Mitchell is spot on. I was told many years ago about a commercial pilot who developed type 1 diabetes and attempted to keep his diagnosis hidden from his employer and avaiation doctor, and did not inform the GP treating his diabetes of his occupation. I am sure that there are many other examples. Her diagnosis impacts on her ability to drive a motor vehicle safely and to undertake certain forms of employment. Giving her control of her electronic health record in this way is has created a hazard to her health. Her liver enzymes are elevated as a result of her anti-convulsant treatment, which may lead to unnecessary abdominal imaging, and she may be at risk of adverse effects from these medications. She has consistently refused to allow her diagnosis or her anti-convulsant drug therapy to be included in her electronic medical records or in referrrals to other specialists. I have a patient who is treated by a neurologist for epilepsy.
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