tag:blogger.com,1999:blog-4384692836709903146.post5610041912967126558..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: What Keeps Me Up at Night - Fall 2013 John Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4384692836709903146.post-74210870003212923142013-09-28T11:41:07.255-07:002013-09-28T11:41:07.255-07:00Ultimately the main problem I see with healthcare-...Ultimately the main problem I see with healthcare- is twofold- We need better physicians plain and simple in two specialties specifically- primary care and cardiology- My own experience-as a caregiver of two elderly parents is that PCPs and Cardiologists are extremely important for monitoring/preventive care for elderly and/or chronic condition patients, yet in my experience they are either excellent or terrible. i discovered that my parents' cardiologist was incompetent after the fact. Patients and caregivers put a tremendous amount of trust in their physicians, and unfortunately many are just not good- despite great credentials from top schools, etc...- I honestly believe that patients should get their medical records every six months from their PCP an cardioligists so that they can verify info in records as well as make sure they have not fallen through cracks regarding necessary follow up visits- echos, labs, etc.. Patients/caregivers need to be truly active participants in their care. Another area of medicine that often has weak doctors, is hospital medicine- this is a field that is also hit or miss-These three important fields of medicine are vital for the elderly and/or chronic condition patient, and yet often the physician is not dedicated, proactive, competent- leaving us with bad care and spiraling health care costs. I truly believe a big reason why we have rising health care costs and yet health care quality is often declining - is we need to monitor/review physicians - to make sure in some way they are doing their job. Maybe I am being simplistic, but let's try simple solutions first.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-45294108816632440692013-09-06T10:23:11.360-07:002013-09-06T10:23:11.360-07:00If you want to pass the test, you have to change t...If you want to pass the test, you have to change the game. http://youtu.be/bDg674aS-F4David Szabohttps://www.blogger.com/profile/16284237960228227697noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-58287424805487395722013-09-04T13:01:36.252-07:002013-09-04T13:01:36.252-07:00For providers, systemness is interoperability. The...For providers, systemness is interoperability. They were assured smooth record sharing could improve care.<br />However, no system was developed. No mandates regulated companies to develop such a system. The billions in meaningful use weren't used for systemness. Why?<br />The ACA aims to control care. With the ACA- systemness is not connecting private providers, it's combining them, in order to control them. The ACA allows the gov. to control private health spending by reducing fragmentation of private practices. Through impossible constraints, regulations & pessimism, the ACA intends to convince private practices their only hope is mergers & acquisitions. Your hard work & optimism sets an example for healthcare. <br />Ivan Mhttps://www.blogger.com/profile/04003416848729715466noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-48585435279629170042013-09-03T22:24:25.214-07:002013-09-03T22:24:25.214-07:00What keeps me up at night are geek doctors who hav...What keeps me up at night are geek doctors who have no idea what the public wants from the healthcare 'system' or technology. Geek doctors have designed systems that actually lock patients out of their own health data and prevent them from controlling it and using it for their own benefit. <br /><br />Current technologies serve large institutions whose desire for profit and market share conflict with patients' expectations and rights to control PHI. Patients want technologies that serve them and help them to be well, compare quality and costs, and get independent advice from sources without conflicts of interest. <br /><br />When technology violates patients' rights to decide who can collect and use their data, 40-50 million patients annually delay or avoid treatment or hide information. Those are very bad outcomes. <br /><br />The public will risk health and life to keep sensitive personal health data private and prevent others from using that data to harm them. Technologies that cause patients to act in ways that harm them are failed technologies. <br /><br />It's time to wise up and use technology that serves patients not industry. Institutions that take care of patients by putting them first will be trusted and survive.Deborah C. Peel, MDhttp://www.patientprivacyrights.orgnoreply@blogger.com