4 ms·

Having a centralised system with health records is bad? I've had that since I was born in my country and I think it's useful and handy. Something happens to you

by rjvbk 8y ago

Having a centralised system with health records is bad? I've had that since I was born in my country and I think it's useful and handy. Something happens to you, they know what could've been, if you're on meds, what things and meds you're allergic to, etc. I guess the outrage makes sense when looked from an American point of view where you distrust the government by principle?

shakna 8y ago
Its not the idea that Australians mistrust - its the implementation. No great technical project in the last couple decades has been successful. Under the current government we have the broken NBN, the fractured MyGov that has been repeatedly hacked, the falling over census website, other broken health care systems. We can't trust that they can build it safely.
- chopin 8y ago
  You should mistrust the idea as well. Scope creep is a thing.
- auslander 8y ago
  Agree. AU Gov is failing in same way any big corporation fails. There is that strange notion that Managers know better than Engineers and can make technical Decisions. Good engineers, who love coding, can design a big system, are unlikely to rule over the Design. It'll be bad engineers, now Managers, with good political skills, that got promoted because its their only way to survive, being otherwise useless. It is totally upside-down, hence the mess.
  - auslander 8y ago
    If any AU Gov hot shot is here, I'll fix your mess, I'm good at it, did it few times before, drop a line at ausland@protonmail.com, I'll try to vet you :)) It will be AWS, no nonsense like kubernetes, possibly a dash of OpenBSD for public layer, least privilege IAM, Cloudformation everywhere. Solid. :) Open Sourcing it is an option too.
kirrent 8y ago
I've been bothering my doctors to actually check my E-health record for years. Sure, one specialist and a GP can communicate fine, but add on a couple of different specialists and it turns into a nightmare to get everyone the information that they need. Even in its current form, without mandatory use by doctors its been useful to me. I'm looking forward to having a proper record of my healthcare as opposed to the fragmented buy in there is now. But that's mostly convenience for me. My wife worked as a doctor in emergency for a while. The only way to get a new patient history including all the information you've said is to call their doctor or ask them. Many patients can't give a full medical history and very few can do so in detail when it's complex. Many doctors aren't at work 24/7 when you want to call them. An E-health record is better.

by rjvbk 8y ago

shakna 8y ago

Its not the idea that Australians mistrust - its the implementation. No great technical project in the last couple decades has been successful. Under the current government we have the broken NBN, the fractured MyGov that has been repeatedly hacked, the falling over census website, other broken health care systems. We can't trust that they can build it safely.

chopin 8y ago
You should mistrust the idea as well. Scope creep is a thing.
auslander 8y ago
Agree. AU Gov is failing in same way any big corporation fails. There is that strange notion that Managers know better than Engineers and can make technical Decisions. Good engineers, who love coding, can design a big system, are unlikely to rule over the Design. It'll be bad engineers, now Managers, with good political skills, that got promoted because its their only way to survive, being otherwise useless. It is totally upside-down, hence the mess.
- auslander 8y ago
  If any AU Gov hot shot is here, I'll fix your mess, I'm good at it, did it few times before, drop a line at ausland@protonmail.com, I'll try to vet you :)) It will be AWS, no nonsense like kubernetes, possibly a dash of OpenBSD for public layer, least privilege IAM, Cloudformation everywhere. Solid. :) Open Sourcing it is an option too.

kirrent 8y ago

I've been bothering my doctors to actually check my E-health record for years. Sure, one specialist and a GP can communicate fine, but add on a couple of different specialists and it turns into a nightmare to get everyone the information that they need. Even in its current form, without mandatory use by doctors its been useful to me. I'm looking forward to having a proper record of my healthcare as opposed to the fragmented buy in there is now. But that's mostly convenience for me. My wife worked as a doctor in emergency for a while. The only way to get a new patient history including all the information you've said is to call their doctor or ask them. Many patients can't give a full medical history and very few can do so in detail when it's complex. Many doctors aren't at work 24/7 when you want to call them. An E-health record is better.