Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Sunday, January 29, 2023

AusHealthIT Poll Number 668– Results – 29th January, 2023.

Here are the results of the poll.

Do You See ChatGPT And Similar Systems Having A Significant Impact On Digital Health Services And Applications?

Yes                                                                                              12 (32%)

No                                                                                               24 (63%)

I Have No Idea                                                                             2 (6%)

Votes: 38

A clear outcome suggesting that most readers do not see much impact on Digital Health from the newer AI modalities….yet!

Any insights on the poll are welcome, as a comment, as usual!

A good number of votes. and a pretty clear outcome. 

2 of 38 who answered the poll admitted to not being sure about the answer to the question!

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

David.

 

6 comments:

Terry Bates said...

I think as time passes the technology will dim in awesomeness as it exposes its limits. It has uses but little of what some are promising IMHO. But again that is reflective of AI in general.

Anonymous said...

Try asking it the same questions over several days - then ask the bot to provide citations for its claims - might have some applications but it is not going to become self aware anytime soon

Bernard Robertson-Dunn said...

I just had a conversation with ChatGPT:

Me: Is a medical record an up to date record of your health status

ChatGPT: Yes, a medical record is a comprehensive and up-to-date record of a person's health status, including their medical history, diagnosis, treatments, medications, test results, and other important information related to their health and well-being. Medical records help healthcare providers make informed decisions about a patient's care, and provide a complete and accurate picture of the patient's health status over time.

Me: Suppose you haven't seen a doctor for over a year

ChatGPT: If you haven't seen a doctor for over a year, your medical record may not reflect your current health status. It is recommended that you schedule a check-up with a healthcare provider to update your medical record and ensure that your health information is up-to-date. During your appointment, your doctor may perform a physical exam, review your medical history, and order any necessary tests to assess your health and make any necessary updates to your medical record. This information will help your doctor provide the best possible care for you, now and in the future.

Me: Wwhat's the difference between a medical record and a health record

ChatGPT: A medical record and a health record are two different types of records that document a person's health information.

A medical record is a comprehensive record of a patient's health information that is created and maintained by healthcare providers, such as doctors, hospitals, and clinics. It includes a patient's medical history, diagnoses, treatments, medications, test results, and other important information related to their health and well-being.

A health record, on the other hand, is a more personal and consumer-driven record that a person can create and control themselves. It includes information about a person's health and wellness, such as their diet, exercise, sleep patterns, and other lifestyle factors, as well as any medical information they choose to include. Health records can be electronic or paper-based and can be used to supplement a person's medical record.

In summary, a medical record is primarily maintained by healthcare providers, while a health record is primarily maintained by the individual. Both types of records are important for helping healthcare providers make informed decisions about a patient's care.

My Comments on all that:

"A health record ... includes information about a person's health and wellness, such as their diet, exercise, sleep patterns"

I have noticed that ChatGPT starts off being quite dogmatic unless you challenge it, which I didn't. I assume what it really means is "could include"

It would seem that MyHR is quite definitely a health record and needs to maintained by the individual, but at best can't be much of a health record as it doesn't have a place for "information about a person's health and wellness, such as their diet, exercise, sleep patterns, and other lifestyle factors".

And the system that the ACT has just rolled out - MyDHR, which healthcare providers maintain - isn't a health record, it's a medical record.

Of course ChatGPT might be wrong. And so might ADHA and ACT Health.

Bernard Robertson-Dunn said...

Here's a follow-up

Me: isn't this rather complicated and requires a lot of effort by individuals who may not have the ability to do it

ChatGPT: Yes, maintaining a complete and up-to-date medical record can be a complicated and time-consuming process, especially for individuals who see multiple healthcare providers or have complex medical histories. It can also be difficult for individuals who may not have the resources or knowledge to manage their own health information effectively.
However, there are steps that healthcare providers and policymakers are taking to make this process easier for patients. For example, many healthcare organizations are implementing electronic health record (EHR) systems that allow for the sharing of medical information between providers, improving the continuity of care for patients. Additionally, some healthcare providers are offering patient portals that allow patients to view and manage their medical information online.

Despite these advancements, it is still important for patients to be proactive in managing their own health information. This can include keeping a personal health record, communicating with their healthcare providers about their medical history and current medications, and being an informed and active participant in their own care.

Me: Is this realistic? many people don't have the resources or capabilities

ChatGPT: No, it is not realistic to expect all individuals to have the resources or capabilities to manage their own health information effectively. Many people face barriers such as limited access to technology, lack of healthcare literacy, and financial constraints that can make it difficult for them to be proactive in managing their medical records.

This is why it is important for healthcare providers and policymakers to continue to work on improving the system and making it more accessible and user-friendly for all patients, regardless of their resources or capabilities. For example, healthcare providers can offer patient education and support to help patients understand their health information and how to manage it effectively. Policymakers can also create policies and programs to increase access to technology and health information for all individuals, regardless of their financial or socio-economic status.

Ultimately, the goal should be to create a healthcare system that supports and empowers patients to be active participants in their own care, while also providing the resources and support they need to effectively manage their health information.

Anonymous said...

"ChatGPT: No, it is not realistic to expect all individuals to have the resources or capabilities to manage their own health information effectively. Many people face barriers such as limited access to technology, lack of healthcare literacy, and financial constraints that can make it difficult for them to be proactive in managing their medical records."

That could form the basis of a headline:

"AI says My Health Record is unrealistic."

Would be very close to the truth.

Anonymous said...

We can expect to see many many more hundreds of millions of dollars channeled to the ADHA to make the My Health Record a fully integrated, interoperable, 'Medical-Health Record' s linking GP and Specialist Medical Practitioners and multiple Allied Health Practitioners (Physiotherapists, Pharmacists, Home Nursing, Aged Care) and others.

https://www.theguardian.com/australia-news/2023/feb/03/an-improved-my-health-record-will-be-at-centre-of-push-to-modernise-primary-healthcare

"My Health Record is an online electronic summary of a person’s health information set up in 2012 to improve continuity of care by creating one centralised record for each patient."

Why?

Because Mark Butler wants a totally integrated system of health providers across all of Primary Care sharing medical and health information as and when needed.

Why does he want this?

Because all his advisers and peak medical bodies have told him that is what's needed to solve the problems in Primary Care and to take the pressure off the overloaded hospital A&E (Anything and Everything) Departments.

Why do they all keep parroting each 'other'?

Because they all believe the 'other' knows how to solve the problems in primary care. So, without stepping back to look afresh, analyze and understand the problems to be solved and how 'best' to solve them just push ahead and keep building and what has already been built in the hope they won't end up in the same place they are now.