---BREAKAWAY CIVILIZATION ---ALTERNATIVE HISTORY---NEW BUSINESS MODELS--- ROCK & ROLL 'S STRANGE BEGINNINGS---SERIAL KILLERS---YEA AND THAT BAD WORD "CONSPIRACY"--- AMERICANS DON'T EXPLORE ANYTHING ANYMORE.WE JUST CONSUME AND DIE.---
Majority of doctors opposed to full access to your own electronic records Facebook data liberation? Check. Twitter? Check. Your health records. Umm…
Lol do you REALLY wanna KNOW what the Good Dr. IS writing in your File ? ...you know all around the corners & sides :o ..hehehe Oops i didn't write THAT! fucking Assistants ? LMAO come ON ..we ALL are thinking IT !
Majority of doctors opposed to full access to your own electronic records
Facebook data liberation? Check. Twitter? Check. Your health records. Umm…
Technology is making transparency easier than ever and with the
advent of electronic medical records, you might think doctors and other
caregivers would embrace transparency for patients. After all, in the US
and most modern counties, you have the right to review your own health
records.
Yet a recent survey by Harris Interactive reported first at Computerworld reveals
that doctors aren't big fans of full transparency. A survey of 3,700
doctors in eight countries revealed that only 31 percent believe that
patients should have full access to their own medical records via
electronic means. That's less than one in 3. The majority of those
surveyed, some 65 percent, supported "limited access," while the
remaining 4 percent believe there should be no access granted to
patients. So, despite the fact that we have rights to review and amend
our records, doctors don’t want it to be easy for us to do so via
electronic means.
I find these numbers incredibly disappointing, although not
surprising. While there might be many motivations for wanting to deny
patients full access to their medical records, I know firsthand one such
motivation: these documents can be terribly inaccurate. Mistakes can
run from the serious to the banal. Ars’ own Casey Johnston told me her
medical records reported the wrong birthdate for her. Not a huge deal,
but also, sort of a silly mistake to make.
I experienced something a little more serious. A few years ago I
decided it was time to get some life insurance for both my wife and
myself. Because we were seeking a significant policy, we were put
through a fairly intense wringer, including a battery of medical tests
conducted in our home and an extensive review of our medical records, in
addition to multiple interviews. Through this process, I came to
realize that my own medical records were littered with inaccuracies. For
instance, the length of time that I had one specific condition had been
significantly misstated. Another medical matter was listed that simply
did not apply to me. Combined, these 2 issues could have cost me
thousands of dollars over the course of the term of this insurance, had I
not successfully resolved them. And this says nothing about how
potential errors in records could lead to ineffective or even fatal
treatment in an emergency situation.
What shocks me about all of this is the lack of concern online. The
Internet took great umbrage at the likes of Twitter and Facebook before
those companies liberated their users’ data. Why is it that we care more
about getting access to our history of tweets than we do about getting
electronic access to data about our personal health? In Massachusetts,
doctors are given 3 weeks to respond to a request for a copy of your
records, and hospitals are given a full month. But in the world of
electronic records, such access could be instantaneous.
Perhaps what is most irksome to me is that despite the lack of
support for full access, 82 percent of those doctors surveyed do want
patients to update their own records with regards to “demographics (95
percent), family medical history (88 percent), medications (87 percent)
and allergies (85 percent),” according to the report. “And, the majority
of doctors (81 percent) believe patients should even be able to add
such clinical updates to their records as new symptoms or self-measured
metrics, including blood pressure and glucose levels.” In other words,
“please do make our job easier to care for you, just don’t ask to see
everything we are writing about you.”
In the end, the age of the godly doctor and the supplicant patient is
coming to an end. It will likely take decades, but I wouldn't be
surprised in my lifetime to see some iterative version of IBM's Watson
occupying a corner of everyone's home, diagnosing and potentially
treating a huge range of maladies. Artificial intelligence,
nanotechnology, and the Internet (to just mention 3 major vectors) will
converge to transform medical care and alter the meaning of what it is
to be a doctor. Full and complete access to one's own medical history is
a prerequisite to this progress, and doctors who stand opposed to it
are ultimately standing in the way of progress.
Unfortunately, the survey did not expound on why doctors do not
support full transparency via electronic medical records. Assuming a
system is secure enough to allow users to add to their own electronic
medical records, which most doctors do support, one would imagine that
it should be secure enough to allow full viewing of the record. It's
hard to imagine that information security lies at the root of this.
Maybe if we're lucky some doctors will show up in the comments and let
us know what's so bad about full transparency via electronic records.
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