Sunday, May 06, 2018

AusHealthIT Poll Number 421 – Results – 6th May, 2018.

Here are the results of the poll.

Is It Possible To Create A Digital Health System That Is Optimally Useful And Functional For Both Clinicians And Patients?

Yes 42% (63)

No - Each Group Has Different Requirements 56% (85)

I Have No Idea 2% (3)

Total votes: 151

Looks like a little over half agree that you can’t serve two masters optimally. It was interesting that the poll result changed slowly over the week with the ‘no’ vote rising steadily over the week.

Any insights welcome as a comment, as usual.

A really, really great turnout of votes!

It must have been a really easy question as just 3/155 readers were not sure what the appropriate answer was.

Again, many, many thanks to all those that voted!

David.

5 comments:

Anonymous said...

I wonder if it is as simple as spectating concerns. The whole MyHR or GovHR is muddling the waters by bundling all the actors into a single narrative and position them according to some sort of politic positioning game. If we seperate them out, provide a rationale and benefit for each. I think each actor can contribute to and benefit from a shared data pool, but that data needs to be presented as information that is useful and meaningful to that cohort.

I am never quite sure if all this is for GPS, pharmacies, consumers, the department or how it facilitates innovation while protecting the goal of interoperability for multiple communities that in a majority of cases maybe temporary in nature as patient traverse through treatments.

Can it be done, I don’t see why not, I think we just need to recognise that groups are different, have different needs.

Bernard Robertson-Dunn said...

The health care system is all about politics and money. Since Gough Whitlam introduced Medibank Mark 1 in the early 1970s the political parties and the health profession have been doing battle. Doctors are mainly concerned with making individual patients better. The government wants to control costs.

And then there's political ideology: does the state pay or the individual?

Nothing has changed.

Digital Health and interoperability are far, far away from the real problems of health care and will do nothing to reduce costs or improved doctor effectiveness. The evidence so far is that it is having the exact opposite result.

Expecting Digital Health and especially myhr to make people better manage their own health or improve health care at the population level is like painting your car red and hoping it will go faster.

ADHA is between a rock and a hard place. The more noise it makes about opt-out the more attention it draws to subjects that could bring trouble - and these subjects are not about health care they are about privacy, consent, data linkage and sharing.

The Doctor's bag website claims that "No stone has been left unturned in finding ways to make Australians aware of their right to opt out: a wide scale advertising campaign will use various media including radio, social media, billboards and cinemas."

I have been told this is an exaggeration and that the only advertising will be in doctors' offices and on social media. ADHA may well be keeping a low profile.

I have no idea what is going to happen, only time will tell.

It could mean that the ADHA CEO is about to make exactly the same mistakes with myhr as he did with care.data

"Tim Kelsey, national director for patients and information, NHS England, was a witness at the hearing and admitted that NHS England had not thoroughly explained the benefits of the potential database."

http://www.computerweekly.com/news/2240215074/NHS-England-admits-failure-to-explain-benefits-of-caredata

Keep your eyes open and join the dots.

Anonymous said...

There certainly are questions to be answered. Like ADHA first interim CEO, the current CEO are just chesspieces.

https://www.opendemocracy.net/ournhs/tamasin-cave/tim-telstra-and-tech-takeover-of-nhs

Follow the money, as for replatforming, you have to take this as Accenture and Oracle getting Australia to pay for there next generation Government controlled Health Record System with a hope once tested on Australia they can resell the concept and technology to the like of Israel and other members of the global digital wealth partnership.

tygrus said...

This weeks poll "Has The ADHA Lost It?" would imply they started with something. The poll should have another option for "Never had it to begin with".

Did I miss what you meant by "It"?

Anonymous said...

Get real. ADHA hasn’t lost it. They are doing exactly what the government wants them to do.

The Federal government is interested in one thing and one thing only – money. Everything they do is about monitoring, influencing and, in the end, controlling costs.

They will start by claiming they are looking for fraud. Then they will question health care decisions, then they will impose constraints, then controls on health treatment.

Why else would they appoint someone to run ADHA who has no qualifications or experience in technology, information systems, health care or even running a public sector agency? Someone who does have truckloads of experience in PR and politics.

All you technologists are unwitting participants in this agenda. You think you are working to improve health care, but in reality it’s about controlling and reducing costs at the expense of care. Open your eyes and ask yourselves – do you want to be part of this deception?