ANALYSE - In Australië werkt het Elektronisch Patiëntendossier (EPD) door een gebrek aan visie, expertise en geld. Dat is een zegen voor het systeem, beargumenteert econoom Paul Frijters.
I have watched the Australian effort, concentrated in the National E-health Transition Authority (NEHTA) from the sidelines and have been amazed at the difference in the Australian approach to the European or American approach. It is a quintessentially Australian approach to change that might just work.
The key strengths of the NEHTA initiative are a lack of foresight, a lack of consultation, a lack of expertise, and a lack of money. Each of these is an enormous blessing in disguise when it comes to the problem at hand. Let me explain, for it is truly quite wondrous that these things should be strengths.
Problems that might arise
A lack of foresight in this area means that you don’t try to deal with all the problems that might arise. You essentially just do your best to guess the major blocks and then you improvise as the problems hit you. And the problems are stupendous, ranging from incompatible programming code to dysfunctional organisations who don’t want to play ball, emerging privacy issues, game-playing private contractors, opportunistic politicians, and high staff turnover.
