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27
January, 2012
Friday

Articles

Despite Small Steps, EHR Interoperability Remains Elusive

Alexander Otto, Internal Medicine News

“True electronic health record interoperability, with seamless information transfer between systems made by different companies, is still years off, agreed panelists discussing health information technology at the Swedish Medical Center Symposium “Innovation in the Age of Reform.”
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31 January 2011 | No Comments »
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Why industry surveys on physician adoption of smart phones could be overestimating reality

Josh Herigon, iMedicalApps

“Although these studies show a high degree of smartphone adoption among physicians, these results should be interpreted cautiously. These firms provide few details on how they actually conducted these studies. A major hurdle to conducting such research is sampling bias. This can occur in survey research when researchers get a low response rate (i.e.—researchers approach a large number of individuals to fill out a survey but few actually fill it out).
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31 January 2011 | No Comments »
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Doctors and Patients Overwhelmingly Agree on Health IT Priorities to Improve Patient Care

Brian Ahier, Ahier.net

“Doctors and patients overwhelmingly agree on key requirements for information technology (IT) to increase the quality, safety, and cost-efficiency of care, as well as core privacy protections, according to a national survey released today by the Markle Foundation.
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31 January 2011 | No Comments »
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Doctors and the public support health IT in America, the Markle survey confirms

Jane Sarasohn-Kahn, Health Populi

“The majority of both doctors and people in the U.S. support sharing information to improve health care in the U.S. by reducing medical errors, cutting avoidable costs, better coordinating patient care, measuring progress on improving quality and safety, and improving public health priorities such as heart disease and obesity.
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31 January 2011 | No Comments »
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One man’s video game is another’s exercise regime

Jim Ducibella, PhysOrg

“It is the last session of six weeks of training, three times a week, 20 minutes a session, held at the retirement community where he and his wife moved two years ago. The next day, Dr. Ergin will return to a testing center inside William & Mary’s Adair Hall, where six weeks earlier he was evaluated for balance and functional movement. Those tests will be re-administered, and a comparison of the two sets of results made.
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31 January 2011 | No Comments »
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Some Concerns with the EHR Incentive Program

Brian Ahier, Healthcare, Technology & Government 2.0

“There has been much discussion and debate on the use of electronic health records and whether they are capable of improving the quality of care. In the recent Stanford University study by researchers Max Romano and Randall Stafford, MD, PhD, there was not much indication of quality improvement. In another study from Britain they were likewise unable to find empirical evidence of quality and safety improvement.
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31 January 2011 | No Comments »
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How EMR Process Issues Screwed Up One Small Practice

Anne Ziegler, EMR and EHR

“Here’s a story which I’m sure could be retold in practices around the U.S. It’s a tale of how EMR process issues slowed down care to a crawl.
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31 January 2011 | No Comments »
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Easing pain for burns victims using virtual reality

BBC News

“Burn patients in the US are being helped to escape the pain of burn injuries by immersing them in the virtual reality of a computer game during treatment.
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31 January 2011 | No Comments »
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A National RFID Plan

Mark Roberti, RFID Journal

“I watched President Barack Obama’s State of the Union speech last week, and I have to say I was disappointed. There was nothing terrible about it, and it was capably delivered, but what bothered me was the lack of vision.
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31 January 2011 | No Comments »
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Many ‘cyberchondriacs’ misdiagnose themselves via Google, say Oz docs

NewKerala

“Australian doctors have warned that they are coming across various ‘cyberchondriacs’-patients who misdiagnose their illnesses after Googling their symptoms.
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31 January 2011 | No Comments »
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February retrospective on e-patients.net

e-Patient Dave, e-patients.net

“Researching recently I wound up looking at where we were two years ago – February 2009, just as the Society for Participatory Medicine (SPM) was forming.
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31 January 2011 | No Comments »
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A small victory for common sense?

Northern Doc

“One of the team saw this news item in Pulse magazine this weekend. For reasons best known to the Party it is scrapping its target that 90% of referrals should be made via the hugely expensive and failed Choose and Book (C&B) system.
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31 January 2011 | No Comments »
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Standardization of data exchange remains a Holy Grail

Ken Terry, FierceHealthIT

“Recently, I interviewed the CIO of a large Midwestern healthcare system about its plans to become an accountable care organization. The healthcare system was installing a well-known electronic health record that will allow its providers to access patient data across inpatient, outpatient and post-acute care settings. The biggest obstacle the CIO saw to health information exchange was the lack of national standards that would enable the system’s EHR to communicate with the EHRs of private practices and other providers outside of the enterprise.”

Article
Ken Terry, FierceHealthIT, 30 January 2011

31 January 2011 | No Comments »
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Online health records popular with patients

CBC News

“Thousands of patients taking advantage of Canada’s first online health records system say it is giving them control over their care, but some experts are warning too much information can cause panic.
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31 January 2011 | No Comments »
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2011 mHealth Report

mobileStorm

“Mobile healthcare, or mHealth, can be broadly defined as the “delivery of healthcare services via mobile communication devices.” More specifically, mHealth refers to the delivery, facilitation and communication of health-related information via mobile telecommunication and multimedia technologies – including cell phones, tablet devices, PDAs and wireless infrastructure in general.
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31 January 2011 | No Comments »
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12 Advances In Medical Robotics

Alison Diana, InformationWeek

“Robots play a critical — and growing — role in modern medicine, from training the next generation of doctors, dentists, and nurses, to comforting and protecting elderly patients in the early stages of dementia. Using robots, medical professionals can make smaller incisions for shorter surgeries, reducing hospital stays and improving patients’ prognoses and saving costs. As robots become even smaller and developers continue to further integrate the devices with artificial intelligence, the medical community will continuously expand the ways in which it uses this technology to save patients, improve quality of life and prevent health problems.
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30 January 2011 | No Comments »
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Lessons Learned From The Largest Civilian EHR System

Phil Fasano, InformationWeek

“Implementation of electronic health records continues across the nation as healthcare providers position themselves to take advantage of the federal government’s incentive payment program, which begins this year and can yield tens of thousands of dollars to those that demonstrate “meaningful use.”
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30 January 2011 | No Comments »
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For Doctors, EHR Adoption Isn’t A Spectator Sport

Rebecca Armato, InformationWeek Healthcare

“Just as the right medical treatment is critical to a patient’s health, the right approach to selecting and adopting an electronic health records system is critical to the health, and even survival, of a physician’s practice. And it’s not just about the technology.
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30 January 2011 | No Comments »
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Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access

Sarkar U et al, J Am Med Inform Assoc, 18(3)

The authors investigated use of the internet-based patient portal, kp.org, among a well-characterized population of adults with diabetes in Northern California. Among 14 102 diverse patients, 5671 (40%) requested a password for the patient portal. Of these, 4311 (76%) activated their accounts, and 3922 (69%), logged on to the patient portal one or more times; 2990 (53%) participants viewed laboratory results, 2132 (38%) requested medication refills, 2093 (37%) sent email messages, and 835 (15%) made medical appointments.
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29 January 2011 | No Comments »
Categories: Science | Country: | Tags: , , , ,

The patient and the computer in the primary care consultation

Pearce C et al, J Am Med Inform Assoc, 2011

Objective
Studies of the doctor-patient relationship have focused on the elaboration of power and/or authority using a range of techniques to study the encounter between doctor and patient. The widespread adoption of computers by doctors brings a third party into the consultation. While there has been some research into the way doctors view and manage this new relationship, the behavior of patients in response to the computer is rarely studied. In this paper, the authors use Goffman’s dramaturgy to explore patients’ approaches to the doctor’s computer in the consultation, and its influence on the patient-doctor relationship.
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29 January 2011 | No Comments »
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