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Computerised information exchange in health care.

B G Regan1

  • 1Department of Information Technology and Quantitative Methods, University of Newcastle, NSW.

The Medical Journal of Australia
|January 21, 1991
PubMed
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New health information technologies like electronic data interchange and smart cards may not benefit general practitioners. Potential privacy concerns and implementation costs could outweigh efficiency gains for medical record-keeping.

Area of Science:

  • Health Informatics
  • General Practice Management
  • Medical Record Systems

Background:

  • Computer use in general medical practices is increasing slowly.
  • New technologies like electronic data interchange (EDI) and smart cards offer potential for accelerated information management.
  • These technologies promise faster transfer of medical data, insurance information, and payments, alongside portable patient records.

Purpose of the Study:

  • To evaluate the potential impact and attractiveness of new information technologies for general practitioners.
  • To identify potential benefits and drawbacks of electronic data interchange and smart cards in general practice.
  • To inform general practitioners' decisions regarding the adoption of new record-keeping technologies.

Main Methods:

Related Experiment Videos

  • Analysis of the potential implications of electronic data interchange for medical data and financial transactions.
  • Assessment of the proposed benefits and risks associated with smart cards for patient medical records.
  • Consideration of the cost-benefit analysis for general practices implementing these new technologies.
  • Evaluation of potential data reliability issues for epidemiological studies and overservicing control.

    • Main Results:

    • While attractive to vendors and government, new technologies may not appeal to general practitioners.
    • Smart cards could worsen data ownership and privacy issues, despite claims of confidentiality.
    • Computer networks may introduce non-essential services and increase privacy breach risks.
    • Implementation costs may exceed efficiency gains, which could be achieved with improved paper record systems.
    • Data collected by the Health Insurance Commission for epidemiological studies may have reliability limitations.

    Conclusions:

    • General practitioners must carefully consider their stance on new health information technologies.
    • Adoption decisions should be made proactively by practitioners, rather than being dictated by external stakeholders.
    • Potential drawbacks concerning privacy, data ownership, cost, and reliability need thorough evaluation before implementation.