On 03/17/98 09:13:45, Ian Trimble <[log in to unmask]> wrote:
>Ahmad, who is going to pay for your GEHE system and how does it fit in
>with your model of the healthcare system?
Personal views:
If it is of benefit to *me*, I will.
How does it fit in with my model of health care?
It fits in with all the other 'solutions' that I acquire to help me do
the job, for example, accounting packages, other computer programs,
plants for the surgery and holidays etc.
On the wider picture, it fits in with regards better communications
between prescriber and pharmacist, better control of fraud, administrative
savings, less paper-shovelling, to mention but a few examples.
>Will it be privately or publicly funded?
If it is 'A Good Thing' to realise the benefits I briefly outline above,
then there is public interest in the investment.
If it is not seen by the great and the good to be a good thing, then
market forces will decide.
For money, I would go for a partnership.
We really need to move on from dogmatic and ideologic debates about
private and public. We need to think in terms of what will work,
notwithstanding human nature. After all, what is 'public money' if it
is not 'private money' at origin?
This comes from an old Keynesian!
> If it is privately funded what will be the payback for the private sector?
The private investor will have to decide that for himself (what is the
pay back for running the lottery or the trains, for example?)
For my money, I'd say the biggest pay back would be access to the
doctors' desk top. What you can do with that access, I leave to your
imagination, but I have pretty solid ideas ;-)
> Will it be a voluntary or compulsory system?
Never one for compulsion. If it is good, it will prosper, if it is
bad, it will die.
>What coding and data standards will it use?
I refer you to the answer my Honourable Friend Ewan Davies gave earlier.
> What networking arrangementswill there be?
I refer you to the answer my Honourable Friend Ewan Davies gave earlier.
> Will it use NHSNet?
Only if I want to. It should be able to exist under any network. Ewan
puts beautifully as 'network agnostic'.
Open systems, platform independence and industry standards. I am
getting tired of repeating this mantra. Is IMG listening?
> Do all your GP colleagues want it?
Donno. Ask them.
>What about existing systems / data?
What about them? I refer you to the mantra above and the answer my
Honourable Friend Ewan Davies gave earlier.
>I'm not being critical, just interested. It might be exactly what
>Frank Burns has in mind for all I know ;-)
Nobody knows what Mr Burns has in mind. The 'New' Strategy is well over
due. Worrying. At least to me. Guess he is having problems at the
Mill.
Hope I answered your questions fully.
Ahmad
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Dr Ahmad Risk
http://www.cybermedic.org
Chairman British Healthcare Internet Association <http://www.bhia.org>
Director Internet Healthcare Coalition - USA <http://www.ihc.net>
Home: +44 1273 724866/748198
Work: +44(1737)240022 Fax: +44 1737 244660
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