Comments on: Are EMRs affecting the doctor-patient relationship? http://www.kevinmd.com/blog/2006/09/are-emrs-affecting-doctor-patient.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Gasman http://www.kevinmd.com/blog/2006/09/are-emrs-affecting-doctor-patient.html/comment-page-1#comment-67160 Gasman Fri, 15 Sep 2006 21:10:00 +0000 http://clients.emmense.com/kevinmd/2006/09/are-emrs-affecting-the-doctor-patient-relationship.html#comment-67160 The computer file needs all its boxes filled in. The well designed EMR will facilitate the act of record keeping, not enslave those who must use it. <br/><br/>The number of EMR systems that are worse than worthless is astounding. If the bad ones are implemented widely we can only expect more of this. <br/>1) time is money, and these systems consume physician time<br/>2) Pay for Performance will use the EMR and look to see that all the boxes are filled in to justify the bill. This too guarantees that the doc's attention will be on the monitor. <br/><br/>Perhapse the only more anoying practice that I've witnessed is the doc dictating his notes throughout the patient interaction. I witnessed this as a student and couldn't believe that the patient put up with this nonsense. The computer file needs all its boxes filled in. The well designed EMR will facilitate the act of record keeping, not enslave those who must use it.

The number of EMR systems that are worse than worthless is astounding. If the bad ones are implemented widely we can only expect more of this.
1) time is money, and these systems consume physician time
2) Pay for Performance will use the EMR and look to see that all the boxes are filled in to justify the bill. This too guarantees that the doc’s attention will be on the monitor.

Perhapse the only more anoying practice that I’ve witnessed is the doc dictating his notes throughout the patient interaction. I witnessed this as a student and couldn’t believe that the patient put up with this nonsense.

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