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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
Summary

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.

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General practice medical records: is coding appropriate?.

Medinfo. MEDINFOยท1995
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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:

  • 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.

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