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Utilisation of the Australian government initiative MyHealth Record to support the clinical approach to factitious disorder
Author(s) -
Alchin David R.,
Overton Kristen,
George Duncan,
Murphy Michael,
Wand Anne P. F.
Publication year - 2020
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.14945
Subject(s) - medicine , government (linguistics) , agency (philosophy) , public health , medical record , identification (biology) , factitious disorder , nursing , psychiatry , philosophy , linguistics , botany , epistemology , biology , radiology
Recently, the Australian Digital Health Agency launched MyHealth Record to the public. As of July 2019, 90.1% of Australians hold records with this service, allowing 16 400 health organisations access to >28 million clinical documents. The streamlining of patient data was intended to facilitate sharing of information and improve communication between medical providers, while promoting efficiency in clinical practice. We have identified a hitherto unrecognised application of this infrastructure in the identification and management of factitious disorder, a rare yet highly diagnostically challenging condition involving intentional feigning of illness, which presents a significant resource burden to the Australian health system.