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by DennisP
4908 days ago
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A good book to continue your reading is The Healing of America by T.R. Reid. The author traveled to eight countries, checking out treatment options for his bum shoulder and learning about their healthcare systems. Canada was one and did have some advantages. He also went to the U.K. But the best systems were in France, Germany, and Japan. They all have private (but nonprofit) insurance, a mandate, and no exclusions for preexisting conditions. But they also have good electronic medical records systems, a government-controlled price list, and no claim denials allowed for anything on the list. Many German doctors don't even hire office staff. They swipe your card, your medical records pop up on screen, and whatever they do they're guaranteed to get paid in a week, no questions asked. (On the other hand, another good book is Best Care Anywhere, which advocates extending the V.A. model to everyone. A nice bit from that book is the VistA medical records system, which V.A. doctors and interns built and opensourced. It's been adopted by several national healthcare systems.) |
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"£12.7bn computer scheme to create patient record system is to be scrapped after years of delays" http://www.guardian.co.uk/society/2011/sep/22/nhs-it-project...
Instead they outsourced to people who outsourced to people...
"Accenture; Computer Sciences Corporation, or CSC; Fujitsu and BT. They were known as local service providers, or LSPs. BT and Fujitsu picked a US software firm, IDX, to work with, while Accenture and CSC both picked a British software company called iSoft. iSoft who offered a software system called Lorenzo, a program that had "achieved significant acclaim from healthcare providers”.
"However, the program was not finished..."
"CSC had to continue on its own, while the other two providers, BT and Fujitsu, were having their own problems. They were trying to implement American software, which is not such an easy thing to do in a British hospital, because American hospitals rely on billing for each and every activity and do not, conversely, expect to have to handle waiting lists."
http://news.techeye.net/business/nhs-it-debacle-debated-in-p...