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Originally published in Queue vol. 8, no. 8
see this item in the ACM Digital Library



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(newest first)

Michael | Mon, 07 Feb 2011 16:16:34 UTC

I am writing a term paper regarding GUI applications and find this article to be an interesting topic for my paper. GUI applications, as mentioned, can be quite a hindrance for health-care providers, especially when there is a major learning curve involved in the process. While I am no professional authority on the matter, I have wondered on occasion why technology like the Apple iPad is not implemented in any way. The touch screen interface is an excellent tool, and they can easily be assigned to any network. Anyhow, I know there is a lot more than just the interface involved in this particular problem, but making things easier for doctors may in fact be a reality with the aforementioned technology.

Gary Herrington | Wed, 13 Oct 2010 05:55:32 UTC

Impacts on Primary Care docs (Internal Medicine & Family Practice) are probably the worst as they have to deal with a wide variety of info from a variety of sources. At the very worst case the loss of productivity with an EMR is around a very real 40%, which of course can be catastrophic to most practices. In large medical organizations docs are just another set of employees, and an EMR may be imposed upon them with little or no usability input from them (primary care often has little organizational clout compared to the more prestigous specialties anyway). In this situation the only way to keep up the (usually mandated) patient quota numbers is for the docs to spend a few extra hours a night acting as a data entry personnel. Since senior management is unlikely to admit million-dollar errors in software procurements and seek workable remedies ("Dilbert" situations), and the docs are just supposed to make it work, the best long-term solution for docs is to find other employment, as difficult as that can be. Again, this may not always be the case but it DOES happen. Anyone who wonders why EMR acceptance is so poor amongst many docs tends to have either a narrow experience with EMR (such as in a specialty setting), or was fortunate to have used a really good one, or simply has a financial stake in selling EMRs, as there seems to be great financial opportunities in this newish branch of Information Technology. Signed - an old IT guy, who has sometimes seen Great Things but also sometimes sees situations where it seems we have learned nothing in the last 50 years.

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