Dear Neil, to colleague Richard Fitton my sincere thanks, his age and experience are precious here. [http://www.hifa.org/dgroups-rss/access-personal-health-information]
If I well understood his point, there is the need of establishing a system of each patient having a PHB (personal health booklet), that will accompany him/her for the life. In fact patient has the Right (!) to have all health information with him/her, secret-confidential. In particular he/she must know the diagnose, well written down in the booklet and thouroughly communicated.
The advantages of the PHB are many, patient becomes finally the centre of the process and not doctor, after all he is sick and not the doctor.
Each of us is responsible for personal health, in this sense health is not only a right but a duty as well.
Doctor has the duty to serve the patient by examining him/her and then writing his findings in PHB while patient has the duty to preserve his health status, by following prescriptions and recommendations written in his booklet.
It becomes easy to understand that within this system adherence to therapeutical guidelines will be automatically enhanced: verba volant scripta manent.
HIFA/CHIFA should contribute to encourage the adoption of PHB worldwide.
Greetings from Dodoma
HIFA profile: Massimo Serventi is a long-standing Pediatrician working in Africa since 1982. He currently works on a volunteer basis in an excellent missionary/credited hospital in north Uganda, St. Mary's Hospital-Lacor-GULU. He has worked for several NGOs in 6 African/2 Asian countries. His interests include clinical and community pediatrics, adherence to clinical guidelines and school education as the major determinant of good health. massimoser20 AT gmail.com