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Title : A Former Liberal Health Minister Points Out Just How Badly We Have Done With E-Health Over 20 Years.
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A Former Liberal Health Minister Points Out Just How Badly We Have Done With E-Health Over 20 Years.

This appeared late last week:

Philips’ Barrow: funding ‘debacle’ hurts e-health innovation

Former health minister Michael Wooldridge says health IT is a “disgrace”.

• The Australian
• 12:00AM September 7, 2017

Sarah-Jane Tasker

Australians want their health information shared among care providers but government funding mechanisms are being blamed for holding back innovation to make that happen.

Kevin Barrow, the Australia and New Zealand head for Philips, said patients were frustrated by the inability of the health system to share what seemed to be fundamentally basic and useful information.

Michael Wooldridge, who was health minister in the Howard government, argued at a recent industry event that in 2000 Australia led the world in health IT but today it was a “disgrace”.

“We don’t still have a functioning e-health and hundreds of millions of dollars have been put into that debacle,” he said.

Mr Barrow said one of the problems for e-health was the funding mechanism, adding it was challenged by the fee-for-service model.

“Things like the My Health record is rapidly starting to be more of a real time repository of information but it is not a way of easily sharing clinical information,” he said.
“It’s starting to change but the proliferation of technology is one thing ... but how do you build a care system around that, which actually uses that technology appropriately?”

More here:

http://www.theaustralian.com.au/business/philips-barrow-funding-debacle-hurts-ehealth-innovation/news-story/630a65f421e3d878f344422e57db1a0a

While it is hard not to feel that Dr. Wooldridge is not looking backward through rose tinted glasses it is true that we have been at this as a nation for close to two decades and somehow the progress has been less than hoped. Political recognition of the failure of the  myHR is welcome however!

On the positive we do now have General Practice and the Public Hospital Sector pretty well automated with the private sector moving along close behind. Where we seem to have trouble is with interoperability and national infrastructure as well is the implementation of co-ordinated national initiatives – especially in the public sector.

We have also had some missteps with various entities such as NEHTA, some underutilised infrastructure and ill-fitting Standards etc. and I won’t even comment on the myHR debacle as I see it.

To me we need a better thought out approach and I have to say the new ADHA Strategy really does not cut it for me.

Where do you see Australian Digital Health as being positioned and what changes in direction would you like to see if any?

David.

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