[log in to unmask],Net writes:
>From: George Myszka <[log in to unmask]>
>Subject: Re: Distributing and controlling medical records
>Date: Sun, 2 Aug 1998 18:26:56 +0100
>In article <[log in to unmask]>, Adrian
>Midgley <[log in to unmask]> writes
>>
>>George, which computer system do you use?
>Vision. Don't like it that much but locked in not only financially but
>with training/motivating some 40+ people using it.
I have seen Vision demonstrated with an interface intended to logically
duplicate Surgery Manager's interface.
I still don't think it is up to scratch for usability though.
Given that you don't like it, what would you like to replace it with,
or add to it?
Far from impossible, in fact I don't actually think it is even
difficult.
Reducing the upheaval is very important, and obviously one wants a
replacement which is largely keystroke compatible for the common and
urgent tasks. This also is not hard to do.
But putting up with somethin you don't like is no way to get anywhere.
>If we dismiss the extremes, there is still an essential rigidity,
>whether perceived or real, within a computer driven system which some
>people are unwilling to be part of.
Yes. It is unfortunate for the rest of us, when we find we have to
read their writing, that it is not clear what they did or when, and
perhaps unfortunate for their patients. Occasionally.
>I accept what an electronic data system can do and agree with you on its
>potential but suggest that until it becomes a part of medical training,
Crazy if it isn't already.
>its implementation will continue to be fragmentary. In the meantime, the
>interface must change before established practices will accept it as a
>transparent, non-intrusive tool, which pen and paper already are.
Good grief. Not to me they are not, particularly when they are forms
that somebody else designed.
>Your enthusiasm and vision is in a minority I think and although it will
>probably become reality eventually it will take a generation at least,
>notwithstanding TB's prescriptive delusions.
"I have committed this nation to before the decade is out placing a
man on the Moon".
Things move faster than one might expect when there is a push from the
top.
>There's nowt as awkward as human nature and the catthartic changes being
>introduced into GP may well founder upon it.
General practice could do with a good cathartic to knock some of the
shit out of it. THe administration, on the other hand, is too far gone
and needs a cull.
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