I may be one of the last of a disappearing generation of working GPs. I graduated in 1970, having taught myself to touch type in my sixth year of medical school (which may have been the most useful thing I learned that year.)
I observed the growth of medical computing from that perspective: typed letters, dictated hospital admission notes, the birth of the personal computer, the use of computers to write scripts, then with increasing sophistication to take over clinical recording.
Another day and another tech firm announces they're set to revolutionise healthcare with their dinky new app, promising to bring untold insights from your personal health records to the palm of your hand and enable information sharing on an unimaginable scale. We hear this boast often enough and cast a thoroughly sceptical eye over every one, but when the app comes from Apple, we do admit to taking a little more notice than usual.
Gossip has abounded about Apple's interest in entering the personal health record market for some years and they've already got some runs on the board with their ResearchKit and HealthKit technology and the existing Health app. But while they've been hiring quite a few people with health technology experience over the last few years, speculation about Apple's likelihood of success in PHRs has always been tempered by the example of Google, which tried and failed with Google Health, and Microsoft, which still markets its HealthVault solution but which just this month closed down HealthVault Insights, an app that used machine learning to analyse health data.
Welcome back to a new year of the weekend edition of Pulse+IT, in which we cast our glance over the events of the week and pontificate for your reading pleasure on what we think it all means for the eHealth and health IT sector. It looks set to be a make or break year for the My Health Record as it goes opt-out at some yet-to-be-decided date towards the end of the year and 20 million people are suddenly presented with a storage receptacle for their health information.
It might be a make or break year for the Health Care Homes project as well, already off to a rocky start with delays and bickering over bundled payments. There was also a bit of a kerfuffle at the end of last year over what shared care planning software the participating practices could choose from and the accuracy of the product information about them.
Team care arrangement have been promoted as the way forward for the primary care sector but actually getting GPs and other members of the care team such as specialists and allied health to use these tools has always been a tough gig. Precedence Healthcare was one of the pioneers of shared care plans in primary care through its cdmNet product, although there are a number of others out there, but even Precedence has found the going tough and shifted its focus once it was acquired by Sonic Clinical Services. It's a struggle for all of these companies, fighting it out for a small market share.