The original intention of electronic paper medical records is to improve efficiency, reduce the workload of doctors and improve the treatment effect on patients. But the problem is that many hospitals have spent millions of dollars developing systems that don't help with treatment. Jay Parkinson, founder of Sherpaa, a pediatrician and medical technology startup in New York, admits, “Frankly, the main role of the electronic medical record system is to help doctors better protect themselves through detailed medical records. Statistics, get paid."
In fact, experienced doctors have pointed out how these systems meet the regulatory requirements of relevant departments, effectively improving settlement efficiency while minimizing medical liability. Jordan Shlain, a primary care physician at the Medical Center in the San Francisco Bay Area, also pointed out that “it can be described as such, the current diagnosis is more repeated examinations of patients, and there is very little real care.â€
Although these systems also have some functions that can help doctors diagnose and treat, they are in fact unable to meet the demand. For example, such a system has important event pop-ups, but now many doctors are faced with warnings of information flooding, they often ignore, this feature is meaningless. Nate Gross, co-founder of Rock Health and Doximity, said, "This is a user experience problem: these systems are not designed with the doctor in mind."
In addition, the biggest problem with these systems is that they do not really allow doctors in various medical institutions to share important information about patients. When designed and developed, these systems are interoperable, which allows doctors to easily obtain a patient's medical record in another medical facility. But in fact, this has not happened, because in these systems, it is not easy to replace patients with medical institutions.
Walwick pointed out that obtaining a copy of a patient's medical record in another hospital via a fax machine and uploading it to the electronic medical record system "sometimes takes weeks or months." And consumer association lawyer Dana Mendelsohn said the cumbersome process potentially increased the doctor's repeated over-examination of patients.
Undoubtedly, these factors waste the doctor's time, making it less effective for patients. According to the latest report, the average effective time for doctors to treat patients is 8 minutes, accounting for 12% of doctors' time, compared with 20% in the 1980s. In many related studies, the “document burden†is a key factor. A 2015 study pointed out that nearly half of doctors feel burnout, and the third reason is the related electronic medical records.
Many doctors have been disappointed with the potential solutions to the problem, but some believe that important changes are coming.
Slane pointed out, "Yes, it's like the light at the end of the tunnel. Some doctors have begun to take action." Many doctors switched to work on developing electronic medical record systems that are more in line with doctors' workflows and better user experience. .
In addition, the hospital is also investing in improving its medical record system. John Mattison, chief medical information officer at Kaiser Permanente, a Southern California medical institution, said his team is improving the hospital's electronic medical record system, reducing clicks and inefficient features. He explained that if the correct information can be provided at the right time, such as a reasonable allocation of doctor time for patient examination, these systems will help improve the level of diagnosis and treatment for patients.
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