By Robert Wachter
For the prior few a long time, know-how has been touted because the treatment for all of healthcare's ills, but drugs stubbornly resisted computerization-- in the past. thank you principally to billions of greenbacks in federal incentives, healthcare has eventually long past electronic. Wachter examines healthcare on the sunrise of its laptop age, and exhibits how know-how is altering care on the bedside. He questions even if executive intervention Read more...
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Extra resources for The digital doctor : hope, hype, and harm at the dawn of medicine's computer age
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There was soon an explosion of such cases, driven by the emergence of a phenomenon known as marketplace professionalism—a peculiarly American notion that professions, while partly capable of self-policing (through peer review, board certification, and the like), ultimately need to be held accountable by the legal system, just like other businesses. While this seems hard to imagine today, many established doctors welcomed malpractice suits in the belief that they would selectively target the countless charlatans in practice at the time.
U u u In distributing the HITECH payments, which averaged about $44,000 per doctor and several million dollars to a midsized hospital, Kocher and his colleagues were aware of the risk of a top-down approach like the one that failed in the United Kingdom. But they couldn’t endorse a no-strings-attached federal giveaway to hospitals and physicians. Kocher recalled the experience a decade earlier when WellPoint, a major insurer, had offered free computers to California doctors, hoping that they would use them to do their billing and documentation for WellPoint-insured patients.
In a 2011 TED talk, Verghese lamented that when we stop talking to and examining patients, dangerous things start to happen, including overlooking simple diagnoses that can be treated when they’re caught early. But we lose more than that. “We’re losing a ritual that I believe is transformative, transcendent, and at the heart of the patient-physician relationship,” said Verghese. ” As computers muscled their way into the exam room in the early years of the twenty-first century, Verghese noticed that his trainees and colleagues gradually adopted a fundamentally new approach to the practice of medicine.