This appeared a little while ago.
Medical Journal Of Australia. Volume 210 Issue 6 Supplement
31 March 2019
Expanding the evidence base in digital health
Coordinating editors:
Meredith Makeham and Angela Ryan
Sharing information safely and securely: the foundation of a modern health care system
Med J Aust 2019; 210 (6 Suppl): S3-S4 Open Access
Australia's digital health journey
Med J Aust 2019; 210 (6 Suppl): S5-S6 Open Access
Towards routine use of national electronic health records in Australian emergency departments
Med J Aust 2019; 210 (6 Suppl): S7-S9 Open Access
Digital health benefits evaluation frameworks: building the evidence to support Australia's National Digital Health Strategy
Med J Aust 2019; 210 (6 Suppl): S9-S11 Open Access
Gathering data for decisions: best practice use of primary care electronic records for research
Med J Aust 2019; 210 (6 Suppl): S12-S16 Open Access
Attitudes of health professionals to using routinely collected clinical data for performance feedback and personalised professional development
Med J Aust 2019; 210 (6 Suppl): S17-S21 Open Access
Nudging hospitals towards evidence‐based decision support for medication management
Med J Aust 2019; 210 (6 Suppl): S22-S24 Open Access
Consumer‐directed technologies to improve medication management and safety
Med J Aust 2019; 210 (6 Suppl): S24-S27 Open Access
App utility and adoption in a tertiary children's hospital
Med J Aust 2019; 210 (6 Suppl): S27-S29 Open Access
Preparing Australia for genomic medicine: data, computing and digital health
Med J Aust 2019; 210 (6 Suppl): S30-S32 Open Access
My Health Record implementation in private specialist practice
Med J Aust 2019; 210 (6 Suppl): S32-S34 Open Access
Using My Health Record in a private obstetrics and gynaecology clinic
Med J Aust 2019; 210 (6 Suppl): S35-S36 Open Access
Telehealth a game changer: closing the gap in remote Aboriginal communities
Med J Aust 2019; 210 (6 Suppl): S36-S37 Open Access
Artificial intelligence and the clinical world: a view from the front line
Med J Aust 2019; 210 (6 Suppl): S38-S40 Open Access
----- End Article List.
I have to say it is well worth downloading and reading these papers only so see how little there is in terms of concrete outcomes – rather than suggestions that with further work potential may be realised of outcomes demonstrated.The focus on the myHR in so many of the articles belies the virtually total lack of evidence so far that it is a genuinely useful clinical system. As for comparing its utility with other approaches – this does not seem to have occurred to anyone!
You have to wonder just who paid for all this and how much it cost for what I see as very little new news.
I really love the irony in the fact that the earlier and demonstrably working shared record system in the Northern Territory (the myehr system - https://nt.gov.au/wellbeing/hospitals-health-services/my-ehealth-record ) was closed down to be replaced by the unproven myHR!
Each of these papers says it was commissioned and peer reviewed. I wonder who the reviewers? Years ago I used to review papers for HISA but they lost interest when if kept describing most of the abstracts as “gunna” abstracts. (The authors were going to undertake a study and we were being alerted in advance!) .
It seems, with a couple of exceptions, not much has changed – or am I too hard?
David.
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