Tuesday, March 22, 2016

How computers are changing the world of healthcare

I have been reading The digital doctor: Hope, hype, and harm at the dawn of medicine's computer age. As I have done previously (eg. see my critical psychiatry blog post), I have tweeted quotes or modified quotes as I have read the book:-

Rather than delight users, as Apple and Google do regularly, the electronic health record is a towering source of physician dissatisfaction
08/03/2016 08:16
Though child can operate iPhone, physicians with 7-10 years postcollegiate education are brought to their knees by electronic health records
08/03/2016 08:17

Actually it's not the doctors' fault. They do have genuine concerns (see Health Affairs blog):-

Physicians are not Luddites, technophobes, or dinosaurs about electronic health records
08/03/2016 08:31

The essence of the problems is poor usability; taking too much time; interference with face-to-face patient contact; and degradation of clinical documentation.

Only one in three physicians say electronic health records have improved job satisfaction
08/03/2016 17:37

Remarkably, electronic health records have not been developed to improve clinician satisfaction:-

Medicine is an unusually expert-centric and somewhat arrogant field, so IT companies were slow to embrace user-centered design
08/03/2016 17:42

Doctors will need to adapt to electronic health records. There may be a role for the use of scribes, which a training doctor or medical student could fulfil in the interests of their learning (see NYTimes article).

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