Letters

Reconfiguring health systems

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7389.599 (Published 15 March 2003) Cite this as: BMJ 2003;326:599

Potential of new ways of using technology needs to be considered

  1. Ian Jardine, management consultant (jard43@ntlworld.com)
  1. Modernising Healthcare Partnership, Abingdon, OX14 5LJ
  2. South Australian Department of Human Services, Adelaide, Australia 5083

    EDITOR—Black is right that health service reconfigurations are dominated by discussions about buildings.1 The design and building processes encourage rehousing the existing way of doing things, not creating a better service for patients and clinicians.

    Remote consultations are one of the “virtuality and knowledge technologies” whose potential could be missed. They now form an effective, proved part of the service in psychiatry in Australia,2 genetics in Wales, and neurology in Northern Ireland.3 But the potential to use information and communications technologies to support services will be much greater. Remote monitoring of patients at home can often provide better measurements than those obtainable in the hospitals (however new).4 The exacerbation …

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