tag:blogger.com,1999:blog-6940140.post2392091419424400752..comments2023-10-08T11:01:00.267-05:00Comments on Really Simple Sidi (RSS): The Antiquity of our Healthcare SystemUnknownnoreply@blogger.comBlogger1125tag:blogger.com,1999:blog-6940140.post-43118437504619877522007-06-22T14:30:00.000-05:002007-06-22T14:30:00.000-05:00Rafa: Sorry to hear about your troubles. Welcome ...Rafa: Sorry to hear about your troubles. Welcome to the world of clinical healthcare information services. There is no more complex information management challenge than in healthcare. Docs have been promised IT based improvements for 30 years. <BR/><BR/>Publishers have a role here: for the most part STM journal articles are unstructured. There's no way--at the moment--to create a patient profile to form a query that will return articles specific to identifying the best treatment paths. <BR/><BR/>Heathcare is a hard challenge. Medicine is practiced the way the the physician learned it 15-20 years before. Practices vary widely. About 1 in 3 patients at a large academic medical center can't pay their bill. Patients have little to no recall of what a physician has said to them. Rx compliance is about 50%. The electronic medical record (EMR) was supposed to address part of this, but 'who is going to enter the data?' Michael Porter and Elizabeth Teisberg (sp) took a stab at how to address the issues, but the answers are still a long way off. <BR/><BR/>Healthcare is unique. Who is the customer? --the doc?, the payer?, the Rx cos?, the employer? You hear about the patient as consumer--but patients don't decide the quantity or quality to consume, and don't pay for it. The only real answers can come from patient empowerment, and the flip side, patient responsibility. I realize that none of this addresses your immediate and unfortunate situation and hope your wife is better soon. <BR/><BR/>The difficulties created opportunities for publishers, but not too many of the commercial publishers taken advantage of it (e.g Up to Date and Nature have.)<BR/><BR/>(P.S. what's with the handicap icon beside the captcha? The resulting sound is a cacophone of japense and some numbers in english. Ouch.)Anonymousnoreply@blogger.com