"Deconstructing" American psychiatry
5 hours ago
The personal blog of Duncan Double
Rather than delight users, as Apple and Google do regularly, the electronic health record is a towering source of physician dissatisfaction
Though child can operate iPhone, physicians with 7-10 years postcollegiate education are brought to their knees by electronic health records
Physicians are not Luddites, technophobes, or dinosaurs about electronic health records
Only one in three physicians say electronic health records have improved job satisfaction
Medicine is an unusually expert-centric and somewhat arrogant field, so IT companies were slow to embrace user-centered design
The drive for greater accountability over recent years has not always been well implemented (eg. see previous post). Care did need to change to be more patient-centred rather than doctor-centred (eg. see previous post). But practice has become too fragmented and dysfunctional. As Hunter concludes:-sacrificed early evenings, studied hard, saw patients, and provided “good” care. In return for these sacrifices doctors got reasonable remuneration; reasonable work-life balance later; autonomy; job security; deference; and respect.
resolving the concerns [of unhappy doctors] remains as big a challenge now as [15 years ago], regardless of the immediate outcome of the present dispute.