Patient Centered Medicine and Technology Adaptation

Patient Centered Medicine and Technology Adaptation

Brett Harnett (University of Cincinnati, USA)
DOI: 10.4018/978-1-60960-469-1.ch001
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Abstract

In many locations throughout the world, the optimal process is non-existent or has broken down; the United States is no exception as explained from a national, (Sarfaty, 2010) as well as an international perspective by Zwar (2010). The situation has become inefficient because of poorly coordinated, acute-focused, episodic care. The solution lies in the most basic role of the healthcare continuum; primary care. However, to achieve maximum effectiveness and efficiency, adoption of various technologies need to be embraced. While it is referenced by different terms, the concept is often termed patient centered medicine.
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Issues, Controversies, Problems

While the medical interventions have moved forward, how we document them has not. Saying electronic medical records (EMRs) are sorely needed is an obvious understatement, so are the frustrations. It has been well documented that migration to an EMR, even in small practices, is met with resistance because it presently slows down the process (Robeznieks, 2005). Cataloging a visit with sidebar activities such as prescriptions is traditionally done with a few notes in a manila folder and a prescription pad. On the other hand, using a tablet PC to populate an EMR that boots slowly, is prone to lockups and stalls between applications exacerbates the problems. Now add the front-end costs of hardware, software, training and risks of data security and we have a woeful candidate for replacement of paper and pen.

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