• Maggoty@lemmy.world
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    6 months ago

    To be fair, you could have the best doctor in the world. The second they enter those dates into the database with the rest of your notes it is out of their hands. The IT department will be responsible for handing over the data.

    • LifeInMultipleChoice@lemmy.world
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      6 months ago

      The IT department would never be responsible for handing over said data. Backing it up, making sure it was recoverable, sure. But IT would have no actions with such.

      I assume it would be the HR department or the administrators

    • fine_sandy_bottom@discuss.tchncs.de
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      6 months ago

      This.

      I have a (well managed) chronic illness. I have to go to lots of doctors at different clinics. All of them are in the habit of just collecting all the information.

      For example, as a patient, there’s no benefit to me whatsoever of the doctor being aware of the day and month of my birth. That’s just the start though, they have my medical concession id number, addresses, et cetera.

      If you express any reluctance at all, you’re made to feel like a pariah. Like a COVID denier or something. For example, there was one clinic I want sure I would continue with, so when I was asked to fill out my details I asked whether it was really necessary given that I might not come on board as a patient, the receptionist and doctor just couldn’t understand why I might be reluctant.

      Last time I saw my GP he asked whether he could record our conversation… “it’s some AI thing we’re trialling”. OMFG. Why on earth would I want that? Why would anyone want that? I want my GP who is an actual person to listen to my circumstances and determine the best course of action.

      • Kedly@lemm.ee
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        6 months ago

        Day and Month of Birth is a basic check to see if you are who you say you are, if you are refusing to give even basic details like that I can see why the medical staff who deal with you would give you confused/annoyed expressions

        • fine_sandy_bottom@discuss.tchncs.de
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          6 months ago

          To be clear, I don’t refuse to provide my Day and Month of Birth, simply because I don’t want to be some kind of privacy pariah.

          That said, while it may have been a reasonable point of ID in the 90s, I don’t believe that remains the case in 2024.

          The basic concept of Australian Privacy Legislation is that organisations ought to collect only that information which they require, and they should disclose the reason why they are collecting that data.

          If the only reason to collect ones Day and Month of birth is so I can repeat it back and confirm it later then that seems very pointless to me. There are other details which they do require which can be used to confirm my identity.

          • Schadrach@lemmy.sdf.org
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            6 months ago

            That said, while it may have been a reasonable point of ID in the 90s, I don’t believe that remains the case in 2024.

            It’s useful for quickly disambiguating between multiple people with the same name though - the odds that two people with the same name and date of birth are using the same provider on the same day are low enough to consider it useful.

            • fine_sandy_bottom@discuss.tchncs.de
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              6 months ago

              I’m certain that fewer than 0.1% of patients at a small medical clinic would share the same first and last names. In those cases, you could differentiate by address and age if necessary.

              • Schadrach@lemmy.sdf.org
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                6 months ago

                I think you underestimate how common the most common first and last names are. In an even small city you are likely to see repeats of the most common names.

                  • Schadrach@lemmy.sdf.org
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                    6 months ago

                    Yes, uniquely identifying the patient is important, especially for pharmacies where people with the same name might receive different doses of the same drug or receive similar sounding drugs that the patient might not catch.

                    What would you suggest? It needs to be a piece of information that is probably unique when paired with name at least as far as the local area, that absolutely everyone has, that the pharmacy and doctor both have and is unlikely to change (to avoid issues where records in one place are updated before the other).

        • fine_sandy_bottom@discuss.tchncs.de
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          6 months ago

          I think this statement is far too broad.

          It might be good to have AI review some imaging someone has had done to examine some particular ailment.

          It’s definitely not good to have a LLM review conversations with my GP and send me targeted marketing for “potential” ailments.

          • person420@lemmynsfw.com
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            6 months ago

            It is, it was a bit terse, you’re right.

            A potential fantastic use of AI is to scan a person’s medical records against the vast medical knowledge humans have gathered over the past century or so to help doctors identify problems quicker and with more accuracy.

            While the general purpose AI’s we use today can’t be trusted to diagnose anything (but I’d argue they can assist a competent doctor) a future specific purpose AI that’s tailored to that task could revolutionize diagnosis. And with the rate AI is going (even if people like Sam Altman are stretching truths) it’s not a too distant future.

        • xmunk@sh.itjust.works
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          6 months ago

          Also worth mentioning.

          Ask for fucking consent.

          AI model training is off the fucking rails right now and we really need laws and lawsuits to punish assholes.

            • xmunk@sh.itjust.works
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              6 months ago

              Sorry, maybe I should clarify that to “informed consent” - if someone shoves an eighty page ToS in front of you to use the services of their private hospital you may be giving consent technically but it’s not informed consent.

        • IzzyScissor@lemmy.world
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          6 months ago

          That’s nice and all, but in the meantime, 96 of the hospital’s “valued partners” are listening in to figure out the best thing to advertise to you next.