I work in Health IT here in Germany and for the past 3 years we've been "testing" those "smaller companies" for different parts of our business.
It's a mess. We've been paying them serious money for a product. We've never been warned that their product isn't finished yet or that we're the beta testers for the product they'll sell to other clients. Or that we have to invest our own personal and their time to fix their problems and talk to their useless support.
This has become a pattern and I'm done with it. We are slowly moving back to older and larger companies who actually do their work properly before they roll out products and updates.
What "older and larger" company do you have in mind? What ever you do, never choose CGM! They wouldn't even be able to spell "test" if their live depended on it! Nothing new ever works, like at all. Everything older needs at least one or two server restarts a day!
I know CGM from medico...their KIS is a nightmare. We have to communicate with it in hospitals. What an ugly monster and somehow no hospital IT is able to admin it properly.
Wow, didn't expect to see medavis mentioned here on HN. I'm currently writing Data Warehouse software (and more) interfacing with their RIS. However, I don't really know what their testing practices are.
Interesting! From where I'm sitting DoctoLib seems to win over the market.
The DWH software writes snapshots of db_direct into a temporal DB (implemented in Postgres using multiranges) and then uses dbt to transform the data into usable tables. Right now, I use Power BI for visualisation and reporting.
However it's good for usual Doctors offices. It's terrible for Radiology Planning. Also many institutions just put a link to their homepage or phone number in there. This way they're on DL but don't have to deal with the calendar.
It's a mess. We've been paying them serious money for a product. We've never been warned that their product isn't finished yet or that we're the beta testers for the product they'll sell to other clients. Or that we have to invest our own personal and their time to fix their problems and talk to their useless support.
This has become a pattern and I'm done with it. We are slowly moving back to older and larger companies who actually do their work properly before they roll out products and updates.