January 13th, 2010 by SteveSimmonsMD in Primary Care Wednesdays
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Some patients in the 21st century approach “modern” healthcare with the same expectations I bring into a deli for lunch: “I’d like the sinus infection with antibiotics and a note for work, please.” I confess, when seeing such a patient I have occasionally acted on the impulse to ask if they would like fries with their order. Yet, these patients do have something to teach us about how to be a 21st century physician.
Eighteen years ago while a fourth year medical student I registered for an elective class on the future of computer science in medicine. This was my first time to see the Internet and I was awed by the vision my instructors had for the future. They had no idea. Read more »
January 5th, 2010 by PhilBaumannRN in Better Health Network, Opinion
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- Image by sirwiseowl via Flickr
Disclosure: I’m fascinated with Technology in general and social software and communities in particular. I’m one of Twitter’s biggest fanboys (here’s proof). I blog and tweet often about these media because I believe it’s important that we understand our relationship with Technology (and for me, Technology is more than just gadgets – for instance: I consider Law, Democracy, Religion and Capitalism technologies – but that’s another post).
I also believe that we need better or more original conversations about the Web and its deepening influences on our lives, our businesses, our sciences and our health care. Social Media pundits (or however they refer to themselves: gurus, evangelists, mavens) for too long have held the dominant voice in these discussions.
One phenomenon which our Web has engendered is the ability for virtually anyone to express their opinions and experiences and perspectives in accordance with their mastery of media. And therein lies a pesky issue: one’s accumulation of social attention for a particular field doesn’t always correlate with their expertise.
Over the last decade, many brilliant contributors have offered important and refreshing perspectives on the promises of the web. But some of these ideas have yet to be vetted and validated by closer scrutiny and scientific inquiry. The truth is not always intuitive. It’s easy, therefore, for appealing ideas to have fundamental flaws. Read more »
*This blog post was originally published at phil baumann online*
December 30th, 2009 by eDocAmerica in Better Health Network, Health Policy, Opinion
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As 2009 draws to a close, the US health care system is ailing and quasi-reform proposals are frantically being debated and voted on. Although some type of reform is likely in 2010, we will have only scratched the surface of what still needs to be changed.
One particular aspect relates to the ease with which patients can use the internet to improve their health care. At eDocAmerica, we’ve been using the internet to improve the health of our users for over a decade. Ten years ago, I predicted that patients would routinely use internet messaging to interact with the health care industry by now, but I was wrong. Although, increasingly, web 2.0 approaches are providing innovative communication and health management tools for patients, the growth of interaction between patients and doctors has been much slower than I predicted it would be. And the future still remains cloudy. The issues are nothing new and include: Read more »
*This blog post was originally published at eDocAmerica*
December 29th, 2009 by KevinMD in Better Health Network, Opinion
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Doctors are pushed to adopt electronic medical records harder than ever before.
However, costs are often the prohibitive obstacle, and whether the current generation of EMRs improve patient care remains in question.
But what about liability? Surely, more complete, legible medical records would reduce the risk of being sued. Right?
Well, it’s not that cut and dry. Read more »
*This blog post was originally published at KevinMD.com*
December 28th, 2009 by Edwin Leap, M.D. in Better Health Network, Health Policy, True Stories
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We have a new EMR system. I like it because I type well. I’m facile at using a keyboard and touch-screen. Not everyone in my group is so blessed, and we’ve had some difficulties using the voice-transcription software. Nevertheless, my gut tells me that in a month or two more, we’ll be getting along with our new system swimmingly. It’s the sort of thing I have wanted for a while, since I truly hate to dictate; and especially hated dictating the information the nurses had already entered into the computer!
However, I have an issue. Not so much with our EMR, but with all EMRs. I have an issue with the deeply-held delusion that computerization will automatically improve charting and patient care.
Some time ago, the inimitable, world famous blogger Dr. Wes (who can be found at http://drwes.blogspot.com/ ) told me that his facility’s conversion to EMR caused him to spend far more time at the computer than with the patient. And true to his great wisdom and insight, that’s where I find myself. It isn’t the location of the computers. We have portable ‘tough-books’ that can go to the bedside. Read more »
*This blog post was originally published at edwinleap.com*
