Open Access BASE2020

Utilisation of the Australian government initiative MyHealth Record to support the clinical approach to factitious disorder

Alchin, DR; Overton, K; George, D; Murphy, M; Wand, APF

Open Access

Abstract

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.

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