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Introduction: The burning platform
Published in Nigel Starey, Health and Social Care in the Digital World, 2020
Care coordination. The weakness of this is discussed earlier, but the Australian electronic system “My Health Record” is regarded as useful, despite the omission of social care providers, the voluntary sector and allied health providers from the team of contributors and users. Responders all support moves towards better care coordination but apart from “My health record” in Australia have no other initiatives to offer the NHS in England.
Common and Assistive Technology to Support People with Specific Learning Disabilities to Access Healthcare
Published in Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer, Everyday Technologies in Healthcare, 2019
Dianne Chambers, Sharon Campbell
The introduction of a personally controlled electronic health record, known as My Health Record in Australia, and a Qualified Electronic Health Record in the United States (Australian Digital Health Agency, n.d.; Office of the National Coordinator for Health Information Technology, n.d.), holds some promise for those with sLDs, as information trends can be devised from event summaries which may include diagnoses, investigations, adverse reactions, medications and immunisation records. This information is in a clear-type format, which will greatly assist clinicians to review the patient’s past history (Australian Digital Health Agency, 2018). However, the electronic health record may not provide an immediate solution for those with sLD as the information may only be available in a specified format, which may not be accessible through some screen readers. The information, however, may be downloaded and read at a later date via electronic access. Medical information can also be downloaded onto several mHealth apps, which may assist in providing important information in an expedient manner. There have been some concerns with the security and privacy relating to electronic health records (Office of the Auditor General Western Australia, 2018), which will need to be addressed in any ongoing manner by health authorities.
Smart health communities
Published in Ben Y.F. Fong, Martin C.S. Wong, The Routledge Handbook of Public Health and the Community, 2021
Fowie Ng, David Briggs, Yaping Liu
Finally, the PHN is also involved in supporting the national initiative, the personally controlled electronic health record system (EHR). The intention is to promote a shift in the traditional health systems empowering the individual in their health care and providing a suite of services that will reduce error and enhance quality of care. This project has been under construction since 2000 with the first version of Personally Controlled Electronic Health Record (PCEHR). Like most aspects of health reform, the multi-level government responsibility, the public/private mix of health care and privacy concerns have made sure that health care and EHR are not exempted from this complexity (Xu et al., 2013). The National Electronic Health Transition Authority (NEHTA) was established in 2005 to accelerate the adoption of an electronic health information system. This subsequently led to the establishment of the Australian Digital Health Agency in 2016 and the renaming of the PCEHR as the ‘My Health’ Record and also delivered a ‘National Digital Health Strategy’. More than 6 million of the 24-plus million population is now providing volumes of clinical information content through the ‘My Health’ record (Hambleton & Aloizos, 2019).
Digital health autonomy for people with communication or swallowing disability and the Sustainable Development Goal 10 of reducing inequalities and Goal 3 of good health and well-being
Published in International Journal of Speech-Language Pathology, 2023
Fiona Given, Meredith Allan, Shaun McCarthy, Bronwyn Hemsley
The primary focus of this paper is on the United Nations Sustainable Development Goal reduced inequalities (SDG 10). SDG 10 includes empowering and promoting “social, economic and political inclusion of all” and ensuring equality opportunity “and reduce inequalities of outcomes, including by eliminating discriminatory laws, policies and practices and promoting appropriate legislation, policies and action in this regard” (United Nations, 2015, np). The paper also relates to healthcare experiences and access, and as such could also inform progress towards good health and well-being (SDG 3). The first two authors of this paper have communication disability and use augmentative and alternative communication (AAC) to communicate. As these authors live in Australia, our focus is the My Health Record (MyHR), an ostensibly personally controlled e-health system designed for all Australians (Makeham, 2019) for the storage and sharing of particular types of e-health documentation (see Hanna, Gill, Newstead, Hawkins, & Osborne, 2017; Van Kasteren, Maeder, Williams, & Damarell, 2017) including prescriptions and dispensed medications, test results, event summaries (detailing a particular moment in care), hospital discharge summaries, and an advance care plan. This plan is the only document that can be uploaded by the healthcare consumer, outlining their wishes for future medical care (McCarthy, Meredith, Bryant, & Hemsley, 2017).
Artificial Intelligence in Health Care: The Challenge of Effective Regulation
Published in Journal of Legal Medicine, 2022
One particularly helpful feature to address privacy is a secure login, ensuring that the information can only be shared with the consent of the individual, except in the case of a medical emergency where such consent may not be possible. For example, in the future Australians may have the ability to control access to their personal health records through the use of a password.7 Such factors are still in discussion as the electronic My Health Record system is being rolled out in Australia. Ninety-one percent of public hospitals across Australia are using the system, and more private hospitals and private medical clinics are beginning to use it. At the present time, Australians can opt into or opt out of having their medical records on this electronic system. Privacy safeguards are important to the community, and many have chosen to opt out until strict privacy can be assured. The use of passwords, the provision of specific identity information such as a Medicare number in order to access medical information, and the restriction of access only to registered health care professionals are all components of legislation and governance.8
Perspectives of general practitioners about a collaborative asthma care model in primary care
Published in Journal of Asthma, 2021
Anila Qazi, Carol Armour, Bandana Saini
Amongst the key challenges noted by participating GPs were those around patient allocation within practices as well as patient behavior. Participants indicated that diagnosis and management of asthma were often carried out by different GPs, either within the same practice or otherwise. This often resulted in the re-issue of a previously prescribed, possibly inappropriate asthma medication/device. These observations by our GP participants are borne out in larger studies (33–35). An analysis of Medicare1 claims for GP consults over a 10-year period indicated that only 50% of patients see the same GP, although about 80% at least see a GP in the same practice (33). Clearly, this compromises the continuity of care in chronic conditions such as asthma and is a factor that needs to be addressed. The new electronic health record (My Health Record) recently introduced in Australia may help enhance continuity of care through the shared care platform (36).