Atlantic Health Forum: Health Care, Digital Gone
"In a world increasingly connected, we scan and centralization of medical records," said Margaret Low Smith, president of AtlanticLIVE. "We're changing the way we make an appointment with the doctor, and companies like ZocDoc and Surescripts trying to change the way doctors and patients engage them, the question is. How are you? "
participants
Shannon Brownlee is a leader and innovator in the field of overtreatment and is the author of overtreated: Why Too Much Medicine Sicker and Poorer makes us . She serves on the boards of US families and the Robert Graham Center of the American Academy of Family Physicians. She is editor of the "Less is More" section of JAMA Internal Medicine and an instructor at the Dartmouth Institute for Health and Clinical Practice Policy.
Oliver Kharraz, MD, is president and founder of ZocDoc, an online service to help patients find doctors, access audited opinion and set appointments. Dr. Kharraz is a global management training and using information technology to make more efficient health care organizations. Originally from Germany, Dr. Kharraz received his doctorate in neuroscience from the Ludwig Maximilian University in Munich and an MA in Philosophy from the Jesuit University of Philosophy in Munich.
David Yakimischak, who prefers to go by "Yak" is senior vice president and director of quality Surescripts, electronic prescribing network prime minister of the nation. Yakimischak is the former director of technology Chief JSTOR WebMD and Medscape. in addition, he sits on the editorial advisory board of InfoWorld magazine. Originally from Canada, Yakimischak has an undergraduate degree in computer science from the University of Toronto.
the discussion
the panel, moderated by Steve Clemons, Washington editor-at-large for Atlantic focused on what technology is for health - . both negative and positive the discussion began by exploring the effect technology has on primary care Brownlee emphasized the importance of the human dimension in medicine, stating. "people who are sick need more technology. People who are sick need to be healed. Healing is spiritual part. It has a lot to do with this human connection, and if we destroy, we destroy one of the rooms deeply, fundamentally important to what medicine is about. "
by examining the limits of technology in the application of medicine, Yakimischak prefaced his contribution with warnings that the technology can not solve magically systematic issues in health care. Technology can simplify mundane routines such as writing and delivering prescriptions, entering information in the records and research of patient history for potential adverse interactions. While these innovations are more effective medical care and help prevent errors, they are not a miracle solution, according Yakimischak. "We can not simply put technology on a system that has not been fixed and expect it to work," he explained.
panelists agreed that access to primary care is a major recurring problem. Although alternatives to the doctor's office, including clinics such as CVS MinuteClinic, increase access by offering extended hours and care for patients with minor medical problems, can lead to negative economic consequences for primary care physicians. Brownlee explained that suppliers like MinuteClinic "skim healthy patients - those who are quick and easy for primary care providers -. And [leave] doctors with patients with chronic diseases" Having a patient population "generally healthy "is necessary to maintain the practice of financially viable doctor.
In discussing what technology can do to improve health care, Dr. Kharraz stressed the importance of changing "the most important factor in the health care system: patient behavior" . data represents an opportunity to decipher what motivates people, as separate individuals to change their behavior. There is great potential for data and technology to work together to help "push people to do the right thing."
Key Takeaways
- The technology has great potential to enable better health care but it must increase, not replace human interaction.
- technology is best used to facilitate this Yakimischak panelist called the largest "fixed" to the health care system "broken." technology
- should be designed to enhance the participation of patients, health care providers and the community.
With all the buzz, excitement and technology surrounding the investment of health, the roundtable provided a welcome opportunity to stop, take a breath and look critically at the limits of health technology, without denigrating its ability to transform aspects of health care. Although this group highlighted several key problems with the current application of technology to health care, the future is bright for the partnership between the health care and technology to join forces and strengthen the health care system health.
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