The purpose and
long-term vision for the Australian PCEHR should be clearly
communicated to facilitate acceptance by consumers and health
professionals. Progress will depend on engaging consumers and
clinicians. Providing value for consumers and health professionals
is more likely to be achieved by undertaking ongoing evaluation
which results in refinement and adaption of the system according to
their needs.
Data sharing
There is potential for the PCEHR to offer new ways for
healthprofessionals and consumers to share information
effectively. Sharing and access to data could be particularly
useful for those with chronic conditions and with multiple
healthcare providers or carers. This would also be useful in
emergencies and when patients are
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Accuracy and
currency of data will be a particular challenge for the PCEHR when
there are multiple sources of information. For example, medicines
information may be contained in multiple documents (for example the
shared health summary, specialists' letters and consumer-entered
notes). The challenge will be to synchronise this information to
build a complete picture of the medicines that are being taken. An
electronic system will not replace the need for the
patientclinician interaction to confirm the validity of the
information contained in the PCEHR. In addition, as medical care
involves more use of, and reliance upon, electronically recorded
information, the same robust processes of clinical governance must
apply to it as to all other products used in the healthcare
sector.10 Safety governance for clinical information systems is
long overdue.10,





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