December 9th, 2009 by KevinMD in Better Health Network, Health Policy, Opinion
No Comments »
Have electronic medical records made a difference in patient care?
According to a study looking at digital medical record adoption of 3,000 hospitals, electronic records have made little difference in cost or quality of care.
That’s discouraging, considering that the government is investing billions of dollars into the technology.
Very few physicians use electronic record systems effectively. For instance, many are simply scanning paper records into a computer, which provides minimal benefit. It’s difficult to track quality improvement data doing that. The problem is further compounded by the archaic interfaces that the current generation of EMRs have, which is akin to a user interface circa Windows 95.
It’s no wonder that most doctors find electronic medical systems actually slows them down. The next generation of systems needs to focus on facilitating the doctor-patient encounter, rather than being an impediment. Taking a few lessons from Google, and improving the user interface would be a good start.
Only then can EMRs realize the potential relied upon by the government and health reformers.
*This blog post was originally published at KevinMD.com*
December 1st, 2009 by KevinMD in Better Health Network, Opinion
No Comments »
My position on the H1N1 flu vaccine is clear: everyone should get it.
But not every physician shares that sentiment. The Washington Post reports that there are a minority who are unconvinced of the vaccine’s safety and believe the H1N1 pandemic is over-hyped.
Worse, they aren’t vaccinating their patients. And when you’re talking about pediatricians, that can mean trouble for their patients; children who are most susceptible to the damage caused by H1N1. Read more »
*This blog post was originally published at KevinMD.com*
November 23rd, 2009 by KevinMD in Better Health Network, Opinion
No Comments »
In medical schools, primary care continues to be among the least respected fields a student can choose.
No where is that more starkly illustrated than in Pauline Chen’s recent New York Times piece, where she tells a story of a bright medical student who had the audacity to choose primary care as a career:
Kerry wanted to become a primary care physician.
Some of my classmates were incredulous. In their minds, primary care was a backup, something to do if one failed to get into subspecialty training. “Kerry is too smart for primary care,” a friend said to me one evening. “She’ll spend her days seeing the same boring chronic problems, doing all that boring paperwork and just coordinating care with other doctors when she could be out there herself actually doing something.” Read more »
*This blog post was originally published at KevinMD.com*
November 17th, 2009 by KevinMD in Better Health Network, Health Policy
No Comments »
By Rahul Parikh, MD
There is plenty to criticize in our bungling trek toward health reform. Leaders on the right, left and at 1600 Pennsylvania Avenue have sidestepped the crucial conversation of controlling the cost of care, in favor of partisan rhetoric about “death panels” and “rationing care.” Worse, the entire focus of reform has centered on spending billions of dollars on technology solutions that will only make marginal changes in the cost and quality of care Americans get.
I want to refocus the debate on what matters most: relationships. Let’s reinvest in the sitting down with, listening to, empathizing with and touching patients. Read more »
*This blog post was originally published at KevinMD.com*
November 13th, 2009 by KevinMD in Better Health Network, Opinion
No Comments »
By Danielle Ofri, MD, PhD
If asked what a doctor does, most people would probably come up with the standard description of diagnosing and treating disease, usually while wearing an ill-fitting white coat. Before I entered practice, even during my medical training that probably would have been my answer too.
But my years in the trenches of real medicine have altered that definition greatly. I do spend time doing the things I learned in medical school like diagnosing disease and writing prescriptions, but that turns out to be only a part of the job, often a very small part.
Much of the time I find myself acting as sounding board. Read more »
*This blog post was originally published at KevinMD.com*
November 4th, 2009 by KevinMD in Better Health Network, Opinion
No Comments »
Some physicians may be hesitant to participate in social media outlets, like Facebook and Twitter.
Well, get over it.
Great post by pediatrician Bryan Vartabedian who addresses this topic. Indeed, physicians have lost control of the online message, especially with, according to recent data, 60+ percent of patients visiting the web first when looking for health information.
Instead, anti-vaccine proponents and homeopaths have embraced the Internet, and now exert tremendous influence on patients. We doctors have no one to blame but ourselves for being so slow to get online. Read more »
*This blog post was originally published at KevinMD.com*
October 27th, 2009 by KevinMD in Better Health Network, Health Tips
No Comments »
Doctors are often compelled to make quick decisions in life threatening cases with only limited information. Unfortunately, pregnant women are now going to be put in the same situation.
The H1N1 flu has taken an extraordinary toll among pregnant women. A new vaccine is now available. Because of the nature of the emergency, there has not been time to do any long term studies of the vaccine. Yet pregnant women will need to make a decision as soon as possible on whether to be vaccinated. Read more »
*This blog post was originally published at KevinMD.com*
October 20th, 2009 by KevinMD in Better Health Network, Opinion
No Comments »
Watch how they interact in a cancer clinic.
So says this oncologist in a poignant column from the Boston Globe. As Robin Schoenthaler writes, “When you’re a single woman picturing the guy of your dreams, what matters a heck of lot more than how he handles a kayak is how he handles things when you’re sick. And one shining example of this is how a guy deals with your purse.” Read more »
*This blog post was originally published at KevinMD.com*
October 12th, 2009 by KevinMD in Better Health Network, Humor, True Stories
1 Comment »
And that includes food of any kind, which makes for some awkward moments at national physician conventions.
So, during this week’s ACEP Scientific Assembly in Boston, WhiteCoat snapped a picture of this notice, which borders on farcical:
Read more »
*This blog post was originally published at KevinMD.com*
October 8th, 2009 by KevinMD in Better Health Network, Health Policy, Opinion
No Comments »
I have been in senior executive management in both managed care and a major hospital system. I find the hysteria over “reform” bitterly amusing because it is so misdirected.
The real problem with health care in America? Greed, indifference and incompetence, pure and simple. But not in the places everyone is pointing.
Insurer side
Insurance companies have to maximize their revenue because they answer to their boards. They are in no rush to fix claims systems that make copious errors and delay payments to providers. There are hundreds of claims processing software programs out there. Some are acceptable, some are useless. None are really good or efficient. And there is the human error factor. A careless mistake by an apathetic claims processor can create payment problems that could literally last for years. Read more »
*This blog post was originally published at KevinMD.com*
