It is not just ordinary health care consumers who have concerns about the My Health Record database, system design, privacy issues and ethical considerations.
It is not just the Turnbull Government which has not sufficiently prepared public and private health care organisations for the nationwide rollout of mass personal and health information collection - the organisations themselves are not ready.
 |
| Lewis Ryan (Academic GP Registrar) |
* 65% of GP Registrars have never discussed My Health Record with a patient
* 78% of GP Registrars have never received training in how to use My Health Record
* 73% of GP Registrars say lack of training is a barrier to using My Health Record
* 71% of GP Registrars who have used the My Health Record system say that the user interface is a barrier
* Only 21% of GP Registrars believe privacy is well protected in the My Health Record system
In fact Australia-wide only 6,510 general practice organisations to date have registered to use My Health Record and these would only represent a fraction of the 35,982 GPs practicing across the country in 2016-17.
UPDATE
Healthcare
IT News, 3
August 2018:
The Federal Government’s Health Care Homes is
forcing patients to have a My Health Record to receive chronic care management
through the program, raising ethical questions and concerns about
discrimination.
The government’s Health Care Homes trial provides
coordinated care for those with chronic and complex diseases through more than
200 GP practices and Aboriginal Community Controlled Health Services
nationally, and enrolment in the program requires patients to have a My
Health Record or be willing to get one.
But GP and former AMA president Dr Kerryn
Phelps claimed the demand for patients to sign up to the national health
database to access Health Care Homes support is unethical.
“I have massive ethical concerns about that,
particularly given the concerns around privacy and security of My Health
Record. It is discriminatory and it should be removed,” Phelps told Healthcare IT News Australia.
Under a two-year trial beginning in late 2017, up
to 65,000 people are eligible to become Health Care Homes patients as part of a
government-funded initiative to improve care for those with long-term
conditions including diabetes, arthritis, and heart and lung diseases.
Patients in the program receive coordinated care
from a team including their GP, specialists and allied health professionals and
according to the Department of Health: “All Health Care Homes’ patients need to
have a My Health Record. If you don’t have a My Health Record, your care
team will sign you up.”
Phelps said as such patients who don’t want a My
Health Record have been unable to access a health service they would otherwise
be entitled to.
“When you speak to doctors who are in involved in
the Heath Care Homes trial, their experience is that some patients are refusing
to sign up because they don’t want a My Health Record. So it is a
discriminatory requirement.”
It has also raised concerns about possible future
government efforts to compel Australians to have My Health Records.
“The general feedback I’m getting is that the
Health Care Homes trial is very disappointing to say the least but,
nonetheless, what this shows is that signing up to My Health Record could just
be made a prerequisite to sign up for other things like Centrelink payments or
workers compensation.”
Human rights lawyer and Digital Rights Watch board
member Lizzie O’Shea claims patients should have a right to choose whether they
are signed up to the government’s online medical record without it affecting
their healthcare.
“It is deeply concerning to see health services
force their patients to use what has clearly been shown to be a flawed and
invasive system. My Health Record has had sustained criticism from privacy
advocates, academics and health professionals, and questions still remain to be
answered on the privacy and security of how individual's data will be stored,
accessed and protected,” O’Shea said. [my yellow highlighting]
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