As usual Edwin Kruys nails lingering issues around the PCEHR. From my understandings and discussions it is not that Doctors are against implementing change or technology within their practices. The limitations with this Government proposed solution as always occur within the human factors of misaligned purpose and vision. A lack of collaborative leadership and in my opinion a lack of understanding about what GP’s in particular are up against in the 15 minute poorly funded consultation in which we all aim to deliver excellence. This is an ongoing conversation in which the future will take shape. Lets hope that we move towards the common good and mutual understandings that good leadership and good citizenship can bring. Lets hope we dont get lumbered with a waste of tax payer funded misunderstandings and bureaucratic imposition that lessens our mutual citizenship as Doctors and patients in healthcare.
Bill Gates once said “your most unhappy customers are your greatest source of learning”.
It seems the Australian Government has understood this message, as it is now considering major legislative changes to the personally controlled electronic health record (PCEHR) system.
This is good news. Doctors and patients are often confused about the rules regarding the collection, use and disclosure of information on a PCEHR.
An example of ambiguities includes doctors being advised not to use PCEHR data when providing third-party reports. But what happens to PCEHR information that, over time, has been incorporated in local databases? And are doctors allowed to access a PCEHR in the patient’s absence?
What’s the purpose?
This lack of clarity reflects a bigger problem — the absence of a clearly articulated and shared goal underpinning the national e-health system.
In the absence of an agreed purpose, rules and systems can become arbitrary or misguided, restrictive…
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