David,

I am in complete agreement with your suggestion....WorldVistA is setting
up its website as we speak and one of the short term objectives will be
to collect and make easily available as much of this body of "evidence"
as we can find. 



Cheers,

Joseph


On Mon, 2002-08-12 at 14:03, david derauf wrote:
> Joseph:
> That there is no evidence YET that would withstand Cochrane type standards
> is clearly understandable, BUT we should be looking at developing a body of
> such evidence if we beleive strongly in this enterprise. IMO.
> David
> ----- Original Message -----
> From: "Joseph Dal Molin" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Saturday, August 10, 2002 6:52 PM
> Subject: Re: Minimizing the opportunity cost
> 
> 
> > On Sat, 2002-08-10 at 22:03, david derauf wrote:
> > > Karsten:
> > > "Apparently, VistA is making healthcare better for US War Veterans -
> from
> > > what I hear". Thats what i hear too.
> > > It would seem  prudent to try and corroberate that with evidence, would
> it
> > > not? Now, if you could at least show that it would do no harm, you might
> > > want to go ahead with the implementation, if it were free, which it is
> not
> > > going to be.
> > > Do not get me wrong. I am strongly considering invloving myself
> firsthand in
> > > an implementation of VISTA where I work. But conjecture and anecdote are
> not
> > > the best way to proceed in an undertaking of this magnitude, from what i
> > > have heard. I am simply asking for examples of EVIDENCE of the systems
> > > utility.
> > David,
> >
> > What type of evidence are you looking for? I am currently doing a study
> > for the OECD on the impact of e-health systems and can tell that there
> > is little comparative evidence for any system which would stand the
> > scrutiny of the standards of say the Cochrane Collaboration's definition
> > of evidence.
> >
> > There are two published reports that I am aware of on VistA one in
> > Jamia:
> >
> > Physician Satisfaction with Two Order Entry Systems     Harvey J. Murff
> > and Joseph Kannry      J Am Med Inform Assoc 2001;8(5):499-511
> >
> > another written in the New York Times.
> >
> > >
> > --
> > Cheers,
> >
> > Joseph
> >
> > Joseph Dal Molin
> > e-cology corporation
> > www.e-cology.ca
> >
> 
> 
-- 
Cheers,

Joseph

Joseph Dal Molin
e-cology corporation
www.e-cology.ca

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