1. I'd like to know how much GPs know about their equivalent of
thermodynamics. That would be a start. The best way to make sure that YOU
understand something is to explain it clearly to someone else.
2. Closed-source software? Irrelevant. Perhaps I didn’t make my
requirements clear: software is irrelevant. I want transparency of
so-called 'knowledge' and I want it challenged - i.e. science.
3. I do not want, and I did not ask for, an opinion on IT or software. I'll
ask an IT expert for that (and the NHS isn't a place to find exemplary IT
case studies). I want to know what GPs' model(s) of the world is/are.
Pre-Galileo or not?
4. Negligence/responsibility/ethics - too vague and woolly? Ah, but I FEEL
like having it answered. And my feelings count for at least as much as
yours. And, interestingly, the UK medical profession does purport to answer
it. A simple search will find the profession's answer.
Just to be Devil's Advocate: I suggest that GPs use problems with
IT/computers to obfuscate on challenges to their 'authority'.
As the Guardian said recently: questions have not been adequately answered.
Not
Good
Enough
Nothing to do with IT. All to do with transparency and accountability.
Sandra
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Adrian Midgley
Sent: 29 July 2011 23:28
To: [log in to unmask]
Subject: Re: Current GP computer systems
On 29 July 2011 22:47, Sandra Pickering <[log in to unmask]>
wrote:
> I'm very interested in the model of the world that a GP has in her head.
In
> my opinion, computer systems themselves are irrelevant - they just happen
to
> be a way of asking GPs to be explicit about that model.
No.
Any more than a car engine is a way of asking someone to be explicit
about thermodynamics.
> I'd like that to be a very good model: ideally, evidence-based; ideally,
> open to scrutiny by intelligent people who are not GPs. I'd like it to be
> challenged by non-GPs and for GPs to learn from those challenges. I'd
like
> transparency.
One day you may even say that you think there is little place for
closed source software in medical care.
When you do, have a look back in the archives of this list.
>It would be an excellent contribution to societal knowledge if
> GPs could make that model (those models if more than one) explicit.
I'd suggest that models are made from pieces, and conentrating on the
piece is more likely of success than trying to build whole things -
see assorted large NHS IT projects.
> As to the negligence/responsibility point?
Too vague, wooly and undifferentiated from current situations to be a
point, or a question I feel like tackling.
THere is considerable prior art and literature on this sort of thing,
some of it may indicate to you what question remains unanswered in
your area of interest.
--
Adrian Midgley http://www.defoam.net/
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