Integrating Technology Into Health Care What Will It Take?

Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
JAMA The Journal of the American Medical Association (Impact Factor: 35.29). 02/2012; 307(6):569-70. DOI: 10.1001/jama.2012.102
Source: PubMed


Technology is in part responsible for increasing health care costs; however, new technology platforms, especially those from consumer electronics, have the potential to both decrease costs and increase the efficiency and quality of care. The benefits of electronic health records (EHRs) are well documented, yet their introduction has been greeted with reluctance and sometimes resistance. Indeed, current usage rates are quite low.1 Similarly, personalized health records (PHRs) for consumers, such as Google Health and Microsoft HealthVault, also have not achieved their predicted uptake. As such, Google shut down Google Health as of January 1, 2012, because “it is not having the broad impact that we hoped it would. . . . We haven't found a way to translate that limited usage into widespread adoption in the daily health routines of millions of people.”2

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    • "New information-based technologies, such as electronic medical records (EMR), can help to unite clinical research and medical care [56]. Researchers can exploit EMRs containing a vast amount of information generated by each medical interaction. "
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    ABSTRACT: Background Patient-centered medicine is developing alongside the concepts of personalized medicine and tailored therapeutics. The main objective of patient-centered medicine is to improve health outcomes of individual patients in everyday clinical practice, taking into account the patient’s objectives, preferences, values as well as the available economic resources. Discussion Patient-centered medicine implies a paradigm shift in the relationship between doctors and patients, but also requires the development of patient-oriented research. Patient-oriented research should not be based on the evaluation of medical interventions in the average patient, but on the identification of the best intervention for every individual patient, the study of heterogeneity and the assignment of greater value to observations and exceptions. The development of information-based technologies can help to close the gap between clinical research and clinical practice, a fundamental step for any advance in this field. Summary Evidence-based medicine and patient centered medicine are not contradictory but complementary movements. It is not possible to practice patient-centered medicine that is not based on evidence, nor is it possible to practice evidence-based medicine at a distance from the individual patient.
    BMC Medical Informatics and Decision Making 01/2013; 13(1):6. DOI:10.1186/1472-6947-13-6 · 1.83 Impact Factor
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    JAMA The Journal of the American Medical Association 06/2012; 307(21):2255-6; author reply 2256. DOI:10.1001/jama.2012.3520 · 35.29 Impact Factor
  • JAMA The Journal of the American Medical Association 06/2012; 307(21):2255; author reply 2256. DOI:10.1001/jama.2012.3526 · 35.29 Impact Factor
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