Wednesday, March 22, 2017
Here Is A Really In-depth Review Of What Has Gone On With National E-Health Records In Australia. Lots Of Lessons Here.
This was published a while ago but I only spotted it a few days ago.
Article (PDF Available)Information Polity
Karin Garrety University of Wollongong
Ian Mcloughlin Monash University (Australia)
Andrew Dalley University of Wollongong
Ping Yu University of Wollongong
Governments around the world are investing in large scale information and communication technology projects that are intended to modernize and streamline healthcare through the provision of nationally accessible electronic health records. In this way, they hope to 'tame' the complex 'wicked' problems facing healthcare, such as rising costs and fragmented delivery. However, these projects often encounter difficulties. Using a case study of Australia's 20-year journey towards a national electronic health record system, we show how these projects can ironically take on the characteristics of the 'wicked problems' they are intended to solve, and how a failure to recognize and cope with these 'wicked' characteristics can lead to waste, conflict and frustration among potential users. We suggest some alternative approaches to the management of large-scale ICT projects in healthcare and other public service sectors that deal with complex, sensitive data.
The story of NEHRSs in Australia is far from over and new enthusiasms for the use of big and open data to drive innovation in the healthcare sector suggest that the digital health record is a thin end of a much larger digitalization wedge. It remains to be seen whether the proposed shift to an opt-out model and financial incentives for use by GPs will help to evolve the Australian MyHR system into a more useful tool that is valued by those delivering and receiving healthcare. Regardless of what happens in the future, we now have 15 years of experience of attempts to build a workable NEHRS. (More on the site)
Lots more found on the link:
There are about 10 pages supported by 91 references so a lot of work has gone into this!
Well worth a browse to appreciate there are perspectives out there other than that we get from the ADHA.
Posted by Dr David More MB PhD FACHI at Wednesday, March 22, 2017