TECH TALKWhat lessons can we draw from an experiment in the UK?
The idea of offering online consultations might be total anathema to some GPs. But if anything could persuade you that they really are the future, how about the idea they would save that most valuable commodity: time?
For example, what if the patient could fill out an online questionnaire with plenty of room to detail their complaint, which was then printed and delivered to you by your staff?
Voila, no face-to-face appointment required and time saved. Of course, there may be some medicolegal issues to contend with.
“We all want it to work,” Dr Sara told The Medical Republic at the Wild Health Summit.
“Given that there is no fundamental economic model, then my sense is that there needs to be some sort of payment to incentivise GPs to create the record.”
“AI has been with us for 20 years or more,” Professor Coiera told The Medical Republic at the Wild Health Summit.
“We don’t even know that behind the scenes we’ve got intelligence algorithms doing everything from interpreting our blood tests [to] helping radiologists look at CT scans,” he said.
Corrum point of sale (POS) and script dispensing software, which is used by 1000 pharmacies nationally, will connect to the system next year.
Pharmacy uptake has also been boosted by Chemist Warehouse, which says it plans to roll out My Health Record in all of its pharmacies.
There are reportedly just over five million Australians with a My Health Record, and nearly 13 million prescriptions and dispensing records have been added to the system.
APP REVIEWProduct: My Coping Plan
Pros: Simple and easy to use, would remind some patients what to do when it becomes difficult to cope
Cons: Unlikely to garner enough interest to regularly use and therefore may be forgotten when needed
If you’re a privately insured patient about to undergo a hospital procedure, one of three things can happen. Your specialist can be participating with one of the insurers in a “no gap” or a “known gap” scheme, or they can be non-participating.
Depending on the specialist you are directing a patient to, even the clinical aspects of your referral can be overridden by the financial settings if they are dire, which sometimes they can be.
A fast-track to market, ON brings together researchers, entrepreneurs and mentors, and the new batch of innovators are tackling some of Australia's greatest challenges in energy, food and agriculture, water quality, wildlife conservation and health, according to CSIRO Chief Executive Dr Larry Marshall.
“Establishing ON was about bringing the Australian research sector closer to Australian industry – creating a pathway to help our scientists turn their excellent science into real-world solutions,” Marshall said.
- Dec 6 2017 at 6:26 PM
The president of the peak body for general practitioners, Dr Bastien Seidel, said patients asking doctors to omit instances of grief, anxiety and other mental health information from their medical record is "not an issue for insurers" but is a significant problem for GPs.
With the banking royal commission likely to investigate cases relating to discriminatory practices in insurance cover, including the denial of cover and denial of claims, and a spike in mental health claims risking the sustainability of the sector, insurers are being forced to look at the quality of their risk profiling, as well as their underwriting and claims processes.
Under legislation passed on October 19, Victoria will have the distinction of becoming the first state to impose a mandatory real-time prescription monitoring regime, giving doctors, pharmacists and nurse practitioners ready access to a patient’s prescription history.
The initiative rides on the back of Tasmania’s successful DORA monitoring system, which has been in place since 2011. But the challenge for Victoria is to cover a population 12 times larger, and an expanded list of medications. Not to mention the problem of bordering jurisdictions that have yet to get on board with real-time monitoring.
In fact, he sees great promise in digital mental health technologies.
GPs: Install the latest version of clinical information systems (CIS) to get the most of out of My Health Record5 December, 2017
Dr John Aloizos AM shares his views on how digital health benefits him as a GP, plus how important it is to ensure clinical information systems (CIS) are updated to get the most out of My Health Record.
As a GP, I often find myself in conversation with colleagues who are in general practice about My Health Record and initiatives that the Australian Digital Health Agency is leading to connect other parts of the sector in the lead up to national opt-out.
One of the frequent comments I hear is:
I’ve tried using the My Health Record in my CIS but it’s too cumbersome to locate useful information. We were told usability improvements had been made – but I’m not seeing them! When will the My Health Record be fixed? When will the usability issues be fixed?’
In response, my question is: ‘When did you last upgrade your practice CIS?’
In a special edition of Health Voices on medical devices, the ethical, practical and personal dimensions of this runaway industry’s frenetic expansion comes under the spotlight.
Australia has seen a number of scandals involving implants in recent years, including metal-on-metal hip replacements, breast inserts and, perhaps most famously of late, trans-vaginal mesh, which is the focus of a paper by Health Issues Centre chief Danny Vedasz.
WentWest and Western Sydney Local Health District have signed up the patient education tool GoShare to provide multimedia guidance for people living with chronic disease, with the view to improving health outcomes, preventing complications and reducing avoidable hospitalisations.
Following a successful 12-month pilot with WentWest, this new agreement will allow all healthcare professionals across the continuum of care in the region to use GoShare with patients, including those requiring cardiac rehab.
- Caitlin Curtis Honorary Research Fellow, The University of Queensland
- James Hereward Post Doc Ecological and Evolutionary Genetics, The University of Queensland
Only last week, a US senator called for an investigation into the privacy policies of direct-to-consumer DNA companies. But this is only one piece of a puzzle that is about to get much more connected.
As with any kind of personal data there are a number of concerns regarding collection, transmission, storage and use. But unlike most other data, your genome reveals intimate information about not only you, but also the people to whom you are related.
It’s time to talk about who can access that data, how, when and why.
An experimental therapy which involves a face-to-face discussion between a person with schizophrenia and an avatar representing their auditory hallucination may help reduce symptoms when provided alongside usual treatment, according to a study published in The Lancet Psychiatry.
The randomised controlled trial compared the avatar therapy to a form of supportive counselling (adapted specifically for the study). It found that avatar therapy was more effective at reducing hallucinations at 12-week follow-up, and had a large effect size.
It is hoped that the ongoing development of My Health Record will enable improved safety and quality of patient care.
“Our unique partnership with the Australian Digital Health Agency will ensure health consumers have a real voice in developing Australia’s digital health capability,” said CHF CEO Leanne Wells.
“Importantly, the MoU supports the national effort to promote increased use of the My Health Record system by consumers and carers.”
A Memorandum of Understanding signed between the Australian Digital Health Agency and the Consumers Health Forum of Australia (CHF) will ensure that digital health solutions are consumercentred and advance the efficiency, quality, and delivery of healthcare in Australia.
“Our unique partnership with the Australian Digital Health Agency will ensure health consumers have a real voice in developing Australia’s digital health capability. “Importantly, the MoU supports the national effort to promote increased use of the My Health Record system by consumers and carers,” CHF CEO Leanne Wells said.
- The Australian
- 12:47PM December 8, 2017
Though the office's statutory functions were later fully restored under the leadership of the privacy commissioner, Timothy Pilgrim, who took on the extra role of information commissioner, funds available for FOI functions remain well below former levels. Throughout this period, the office has kept a low profile on FOI issues while concentrating more on privacy and access to government data.
ANALYSISEarlier this year, we wrote about Dr Richard Zhu, the revolutionary Sydney GP on a mission to list the fees of every specialist in Australia.
His resulting website, SeekMedi.com.au, made national media headlines with praise from both GPs and patients for fighting for greater fee transparency.
What has happened since? Do doctors and patients use it? Is it making a difference?
“A patient may make an unbalanced judgment because he is deprived of adequate information. A patient may also make an unbalanced judgment if he is provided with too much information and is made aware of possibilities which he is not capable of assessing because of his lack of medical training, his prejudices or his personality.” - Lord Templeman in Sidaway (1985)).
It has now been 25 years since the High Court of Australia decided the case of Mrs Whitaker – the unfortunate lady who developed sympathetic ophthalmia in her left eye following an operation on her right eye. The High Court held that the surgeon, Dr Rogers, was liable for failing to warn Mrs Whitaker specifically about this rare, but devastating, risk of the procedure.
- The Australian
- 12:00AM December 7, 2017
- 06 December 2017
- Written by Sam Varghese
Last week, NBN Co, the company rolling out the national broadband network, said that network issues would mean a delay in HFC connections of anything from six to nine months.
Dermot Cox, an HFC expert and business consultant, told iTWire the HFC platform was fine, but "running out of capacity, yes. In need of field workforce training, yes; in need of robust NBN Co workforce craft practices, yes".
- 05 December 2017
- Written by Sam Varghese
This is one of the conditions of the deal which NBN Co signed with Telstra for use of its HFC network, the Australian Financial Review reported.
NBN Co is paying Telstra $5 billion in infrastructure payments, $4 billion in disconnection payments and $2 billion in Commonwealth agreements for the HFC network.
- The Australian
- 6:32AM December 4, 2017