[LINK] Link Digest, Vol 290, Issue 13

Fri Jan 20 12:07:03 AEDT 2017

Further to the tele-health debate, some opinion that bandwidth isn't the
cure-all FTTP-only-for-NBN proponents would have you believe.

https://www.theregister.co.uk/2016/06/19/telstras_future_of_medical_diagnosis_needs_just_5mbps/

S.

On Fri, Jan 20, 2017 at 12:00 PM, <link-request at mailman.anu.edu.au> wrote:

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> Today's Topics:
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>    1. Re: Digital Health (Bernard Robertson-Dunn)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 19 Jan 2017 13:09:00 +1100
> From: Bernard Robertson-Dunn <brd at iimetro.com.au>
> To: David <dlochrin at key.net.au>, link at mailman.anu.edu.au
> Subject: Re: [LINK] Digital Health
> Message-ID: <5ef4151f-4516-3941-251d-44777b18b1e2 at iimetro.com.au>
> Content-Type: text/plain; charset=utf-8
>
> On 19/01/2017 10:30 AM, David wrote:
> > On Wednesday 18 January 2017 16:10:55 Bernard Robertson-Dunn wrote:
> >> Here's his definition of Digital Health
> >>
> >> "Digital Health is a disruptive and transformational approach to the
> delivery of healthcare, with a focus on engaging and empowering patients,
> activating caregiver networks and understanding that patients are
> increasingly behaving as consumers of healthcare. Digital Health provides
> us with a toolbox of technologies and techniques that support the
> development of new, innovative patient and caregiver-centred models of
> care, driving improved engagement, accessibility, quality, safety,
> efficiency and sustainability into all corners of the health system."
> > The article seems to me a fine example of its kind: so much
> consultant-speak, so little meaning.
> >
> > What on earth is meant by "patients are increasingly behaving as
> consumers of healthcare"
>
> Dr Henry Marsh, "one of Britain's leading brain surgeons", in an
> interview with the BBC world service said a couple of interesting things:
>
> a) Patients are not consumers; It's not like going into a shop and
> buying something.
>
> b) The important thing is decision making.
>
> http://www.bbc.co.uk/programmes/p03chc23
>
> I'd add that good decision making means good, reliable data. the
> government's My Health Record isn't. And the government tells us so:
>
> "Clinical information you find within your patient?s My Health Record
> should be interpreted in much the same way as other sources of health
> information. It is safest to assume the information in a patient?s My
> Health Record is not a complete record of a patient?s clinical history,
> so information should be verified from other sources and ideally, with
> the patient."
>
> In other words it is unreliable and potentially unsafe. And if the
> government thinks that the patient can verify things like diagnoses,
> treatment plans etc, then they are even more naive than I thought.
>
> This admission is well hidden in the FAQ for Healthcare providers under
> "How can I be sure information in My Health Record is up to date?"
> https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/
> Content/healthcare-providers-faqs
>
> Talk about transparency and trust: well this isn't it.
>
> > Stand-out omissions in the article are the lack of even a one-paragraph
> estimate of cost-benefit, and a convincing example of the end-to-end
> process from patient to doctor.
>
> I'd go further.
> There is no  justification/demonstration of how improved health outcomes
> will be achieved.
> There is no estimate of the full costs (not just the cost of the
> technology but the cost of ownership)
> There is no assessment of the risks either in healthcare or in loss of
> privacy.
>
> An observation:
> Health IT usually increases costs (think PET/CT/MRI scans). That may
> increase effectiveness of healthcare but reduce costs?
>
> I've seen no evidence and I've asked people who should know.
>
> > It's all arm-waving, long-lunch stuff.
>
> Agree
>
> Bernard
>
> --
>
> Regards
> brd
>
> Bernard Robertson-Dunn
> Sydney Australia
> email: brd at iimetro.com.au
> web:   www.drbrd.com
> web:   www.problemsfirst.com
> Blog:  www.problemsfirst.com/blog
>
>
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> End of Link Digest, Vol 290, Issue 13
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