At 12:06 on 13/8/96, Mike Wells wrote:
> Gerard raises some questions. I am neither a GP nor a supplier, just
> an ex-provider of services to a sizeable user base, but I would like
> to give my answers to some of Gerards questions.
>
> > The following is for your food for thought, good health, and good night
>rest.
> >
> > What's on or in our systems we don't know about?
>
> Your systems should be specified by you as a group, preferably with
> proper help from trustworthy professionals (there are such. BCS
> members are required to undertake to act in a responsible and ethical
> way, a bit like GPs). The specification can perfectly well say what
> is NOT to be in the system, such as background activities which glean
> information about wither you or your patients.
-> Off course, you are right.
But.
When I use Netscape or the Microsoft Browser I want to use it as a browser
and not as a SPY. (And that's what they do)
> > What's in our systems provided by the providers on what we prescribe or
>manage?
> See above
>
> > Is it safe to have others write systems for us?
> Of course it is! You don't build your own cars etc . You have not
> been trained to write systems. Put your skills where they matter,
> into deciding what you and your patients need and then want, and make
> sure you get it. If that means bringing in other professions (eg a
> lawyer to help you write a water-tight contract) then do so. Don't
> waste your time doing things that others can do for you.
-> I hope that they don't see it as proffitable to insert some spies in our
systems. Spies that gather information about our ways of working, what we
prescribe, etc, etc. There obviously is a big market for that kind of
information. Id providers are in the bussiness to make money..... (only one
guess will be allowed for the correct answer)
> > Shouldn't we GP's do it our selves?
> For God's sake 'NO'? Again, see above.
>
-> Perhaps we must not do it our selves, but with organisations which are
controlled by us. Organisations without the (build in) inclination to spy.
> > Instead of relying on the benevolence of the esteemed providers.
> If you rely on they providers benevolence, then you will get what you
> deserve. The suppliers are in business to earn a living. They have
> (or should have!) teams of employees with proper skills and training,
> and deserve to be suiatably rewarded for their work. To do their
> work properly the suppliers need an AGREED sepcification of what the
> system(s) are to do, how these systems will intercommunicate and so
> on. This specification is an adjunct to a suitable contract (and I
> mean a proper contract, not a one-sided thing, or a lot of
> conversations that nobody ever recorded) and this contract is
> enforceable by both parties.
-> We must involve, use, experts to do the work.
We MUST CONTROL the whole process.
Gerard Freriks,huisarts, MD
C. Sterrenburgstr 54
3151JG Hoek van Holland
the Netherlands (31) 174-384296/ Fax: -386249
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