On 01/15/98 10:03:48, Christopher Mackintosh <[log in to unmask]> wrote:
> We've thought quite a bit about it all, and here are some random thoughts:-
> a) Trust doesn't want to lose its data and information
> b) Do you really want ALL community staff encounters on your GP system?
> c) What do you want it for? Could you do the analyses on the Trust system?
> d) Eventually, it looks increasingly (White Paper etc. etc.) that community
> staff will use IT systems in the practices, and so route (2) above is
> probably the best in the long term, but looks just bizarre in the short term.
> e) Our Trust has a ?10 year old community IT system with no plans to
> develop it. If community staff are going to have mobile computing
> facilities or anything like what they should have, we are going to have to
> do the thinking.
I think the thinking is developing along the lines of 'webbish' LANs,
handhelds and open standards.
That way, *any* health care professional is inputting and extracting
>from more or less the same pool of data.
You're right in questioning the need to have community data on the GP
system.. My own feeling is that data should stay where it was generated.
Those who have a need to know can do so via the twin approaches of
structured and unstructered messaging.
If the comunity data is entered onto the Trus's information system,
that, and other Trust data, should be accessible to authorised users,
preferrably, in my opinion, via webbish browsing and structured
exchange/transmittal. No need to key in a number of times when the
whole shooting match can be accessed from the GP desktop, a handheld or
a bed-side netbox.
See the work of Jonathan Kay and Dave Nurse at the Radcliffe. They've
been at it for 8 years in Oxford!
http://oxmedinfo.jr2.ox.ac.uk/
Or, Stan Shepherd's trident Beacon system at:
http://www.tridenthealth.co.uk/
Where they talk about 'information trading', an interesting concept.
Cheers.
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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